Search › Georgia › 174400000X
Vanessa Moore
NPI 1497093546 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2612 Dogwood Ave
Pt D19
Thunderbolt, GA 31404 - Phone
- (912) 220-6689
- Organisation at this address
- Bainmed Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Female
- Record last updated
- 2013-01-24
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