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Shannon Moore
NPI 1992406599 · on the registry since 2023
Practice
- Address
- 5419 Edwards Plantation Dr
Columbus, OH 43221 - Phone
- (330) 407-3700
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-11
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 Ohio