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Gerry Moore
NPI 1164773040 · on the registry since 2012 · sole proprietor
Practice
- Address
- 85 Rendi Ln
Baxley, GA 31513 - Phone
- (912) 347-9043
- Fax
- (912) 367-0986
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Male
- Record last updated
- 2012-10-02
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