Moore, Heather

Moore, Heather is an individual health care provider with primary practice located at 2675 N Decatur Rd Suite301, Decatur GA 30033-6131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Moore, Heather can be contacted via phone (404) 294-0472.

Contact Information

Primary practice address
2675 N Decatur Rd Suite301 Decatur GA 30033-6131
Phone: (404) 294-0472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN169917 CNM Georgia

Profile Details

NPI number 1952603367
LBN Legal business name Moore, Heather
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2010
Last updated Jun 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952603367 NPPES
Georgia Other CNM0204 CNM LICENSE

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