Moore, Laura Noel
Moore, Laura Noel is an sole proprietor health care provider with primary practice located at 100 Line Creek Dr , Peachtree City GA 30269-1028. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moore, Laura Noel can be contacted via phone (770) 847-8786.Contact Information
Primary practice address
100 Line Creek Dr
Peachtree City GA 30269-1028
Phone: (770) 847-8786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 043094 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60541847 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 043094 | Georgia |
Profile Details
| NPI number | 1619926177 |
|---|---|
| LBN Legal business name | Moore, Laura Noel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 6th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619926177 | NPPES |
| Other | 10636815 | CAQH | |
| MEDICAID | 000788477N | CAQH | |
| Other | 043094 | CAQH | |
| Other | 1619926177 | CAQH |
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