Individual provider · Type 1 NPI
Vanessa Josephine Moore
Specialist · Thunderbolt, GA
NPI number
1497093546
Active
Practice location
2612 Dogwood Ave, Pt D19
Thunderbolt, GA 31404-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1497093546
Vanessa Josephine Moore's National Provider Identifier is 1497093546, issued on Jan 24, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thunderbolt, GA. The record was last updated on Jan 24, 2013.