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Shannon Moore

NPI 1265779102 · on the registry since 2013

Practice

Address
13775 Us 19 S
Thomasville, GA 31792
Phone
(229) 228-6419
Fax
(229) 269-4422
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-26

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