Individual provider · Type 1 NPI
Matthew Douglas Moore, BSN, RN
Administrator Registered Nurse · Dallas, GA
NPI number
1043045537
Active
Practice location
88 Sparkleberry Ln E
Dallas, GA 30132-7578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN266385 (GA) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Dallas
About NPI 1043045537
Matthew Douglas Moore, BSN, RN's National Provider Identifier is 1043045537, issued on Sep 4, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Dallas, GA. The record was last updated on Sep 4, 2024.