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Shanelle Moore
Adult Medicine Physician in Largo, Maryland
NPI 1669028338

Shanelle Moore is an Adult Medicine Physician based in Upper Marlboro, MD and is specialized in Adult Medicine. Shanelle Moore practices in Largo, MD. The NPI Number for Shanelle Moore is 1669028338 and holds a License No. 207QA0505X (Maryland).

The current practice location address for Shanelle Moore is 1221 Mercantile Ln, Largo, MD and can be reached out via phone at 301-618-5500.

Location: 1221 Mercantile Ln, Largo, MD, 20774-7078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669028338
Provider Name
Shanelle Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1221 Mercantile Ln, Largo, MD, 20774-7078
Phone Number
301-618-5500
Fax Number
Provider Enumeration Date
08/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 Mercantile Ln
City
Largo
State
Maryland
Zip
20774-5374
Phone Number
301-618-5500
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Mercantile Ln
City
Largo
State
Maryland
Zip
20774-5374
Phone Number
301-618-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
207QA0505X (Maryland)
Definition
Definition to come.
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