Moore, Shawn Anthony

Moore, Shawn Anthony is an individual health care provider with primary practice located at 900 N Hairston Rd Ste A3 , Stone Mountain GA 30083-2857. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Moore, Shawn Anthony can be contacted via phone (678) 902-4947.

Contact Information

Primary practice address
900 N Hairston Rd Ste A3 Stone Mountain GA 30083-2857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 00243250 Georgia

Profile Details

NPI number 1750800058
LBN Legal business name Moore, Shawn Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2017
Last updated Mar 17th, 2018 - about 7 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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