Moore, Raven

Moore, Raven is an sole proprietor health care provider with primary practice located at 154 Chief Ct , Rockmart GA 30153-8020. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Moore, Raven can be contacted via phone (678) 994-6085.

Contact Information

Primary practice address
154 Chief Ct Rockmart GA 30153-8020
Phone: (678) 994-6085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X J6G4Z3L9 Georgia

Profile Details

NPI number 1063253136
LBN Legal business name Moore, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about last year

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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