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Raven Moore

NPI 1063253136 · on the registry since 2024 · sole proprietor

Practice

Address
154 Chief Ct
Rockmart, GA 30153
Phone
(678) 994-6085

Registry record

Primary taxonomy
Phlebotomy Technician
246RP1900X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-03
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia