Individual provider · Type 1 NPI
Shawn Anthony Moore
Intermediate Emergency Medical Technician · Stone Mountain, GA
NPI number
1750800058
Active
Practice location
900 N Hairston Rd Ste A3
Stone Mountain, GA 30083-2857
Mailing address
1921 Brook View Ave
Doraville, GA 30340-3850
Other practice locations
- 900 N Hairston Rd Ste A, Stone Mountain, GA 30083-2857 · (678) 902-4947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intermediate Emergency Medical Technician Primary | 146M00000X | 00243250 (GA) |
Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Other intermediate emergency medical technician providers in Stone Mountain
About NPI 1750800058
Shawn Anthony Moore's National Provider Identifier is 1750800058, issued on Sep 18, 2017. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Mar 17, 2018.