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Shelia Moore

Community Health Worker in Columbus, GA. Individual provider (NPI-1).

NPI number1669934808
StatusActive
Last updated in NPPESApr 5, 2019

Details

NPI
1669934808
Entity type
Individual (NPI-1)
Name
Shelia Moore
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2019
Last updated
Apr 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

2011 Forestwood Ln
Columbus, GA 31907-3345

Phone 706-610-6606

Mailing address

2011 Forestwood Ln
Columbus, GA 31907-3345

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