Moore, Keshia

Moore, Keshia is an individual health care provider with primary practice located at 304 Pierce Ave , Macon GA 31204-2422. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moore, Keshia can be contacted via phone (478) 751-2825.

Contact Information

Primary practice address
304 Pierce Ave Macon GA 31204-2422
Phone: (478) 751-2825
Fax: (478) 751-2897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-124512 Georgia

Profile Details

NPI number 1821255159
LBN Legal business name Moore, Keshia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 18 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 1821255159 NPPES
Georgia Other 58-0622971 TAX I.D. NUMBER

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