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Shawn Anthony Moore
Intermediate Emergency Medical Technician in Stone Mountain, Georgia
NPI 1750800058

Shawn Anthony Moore is a Intermediate Emergency Medical Technician based in Doraville, GA. Shawn Anthony Moore practices in Stone Mountain, GA. The NPI Number for Shawn Anthony Moore is 1750800058 and holds a License No. 00243250 (Georgia).

The current practice location address for Shawn Anthony Moore is 900 N Hairston Rd Ste A3, Stone Mountain, GA and can be reached out via phone at 678-902-4947.

Location: 900 N Hairston Rd Ste A3, Stone Mountain, GA, 30340-3850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750800058
Provider Name
Shawn Anthony Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
900 N Hairston Rd Ste A3, Stone Mountain, GA, 30340-3850
Phone Number
678-902-4947
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 N Hairston Rd Ste A3
City
Stone Mountain
State
Georgia
Zip
30083-2857
Phone Number
678-902-4947
Fax Number
person
Provider Business Mailing Address Details
Address
900 N Hairston Rd Ste A3
City
Stone Mountain
State
Georgia
Zip
30083-2857
Phone Number
678-902-4947
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
00243250 (Georgia)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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