Moore, Jerome

Moore, Jerome is an sole proprietor health care provider with primary practice located at 3044 Ashly Forest Dr , Snellville GA 30078-4524. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing Service Related Providers / Nurse's Aide, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Emergency Medical Service Providers / Emergency Medical Technician, Basic is his primary health care specialty. Moore, Jerome can be contacted via phone (770) 896-1413.

Contact Information

Primary practice address
3044 Ashly Forest Dr Snellville GA 30078-4524
Phone: (770) 896-1413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing Service Related Providers / Nurse's Aide 376K00000X CN0030028021 Georgia
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X E029658 Georgia

Profile Details

NPI number 1841605797
LBN Legal business name Moore, Jerome
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2014
Last updated Feb 20th, 2020 - about 4 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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