Individual provider · Type 1 NPI

Latecka S. Moore

Durable Medical Equipment & Medical Supplies · Savannah, GA

NPI number 1528840428 Active

Practice location

147 E Montgomery Xrd
Savannah, GA 31406-4730

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management 1744P3200XCO133923 (GA)
Prosthetist 224P00000XCO133923 (GA)
Orthotic Fitter 225000000XCO133923 (GA)
Durable Medical Equipment & Medical Supplies Primary 332B00000XCO133923 (GA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1528840428

Latecka S. Moore's National Provider Identifier is 1528840428, issued on Oct 17, 2023. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Savannah, GA. The record was last updated on Mar 25, 2025.