Moore, Leslie

Moore, Leslie is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Leslie can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Fax: (404) 367-3558
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN227918 Georgia

Profile Details

NPI number 1871961821
LBN Legal business name Moore, Leslie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2015
Last updated Sep 5th, 2018 - about 6 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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