Moore, Laurie Denise T

Moore, Laurie Denise T is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Moore, Laurie Denise T can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Fax: (404) 327-4972
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN144115 NP Georgia

Profile Details

NPI number 1447287198
LBN Legal business name Moore, Laurie Denise T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - 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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