Individual provider · Type 1 NPI

Engra De'ete Moore, BA, MS

Contractor · Ashburn, GA

NPI number 1083430219 Active

Practice location

521 S Jefferson St
Ashburn, GA 31714-5829

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1083430219

Engra De'ete Moore, BA, MS's National Provider Identifier is 1083430219, issued on Dec 3, 2024. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Ashburn, GA. The record was last updated on Dec 3, 2024.