Search › Georgia › 146N00000X
Jerome Moore
NPI 1841605797 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3044 Ashly Forest Dr
Snellville, GA 30078 - Phone
- (770) 896-1413
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 146N00000X
146N00000X
- Also registered as
- 261QA0600X
376K00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-20
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