SearchGeorgia183700000X

Zandrell Moore

NPI 1396498291 · on the registry since 2022 · sole proprietor

Practice

Address
340 Lakeridge Ct
Riverdale, GA 30274
Phone
(470) 458-8701

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-31

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