Individual provider · Type 1 NPI
Jerome Moore
Basic Emergency Medical Technician · Snellville, GA
NPI number
1841605797
Active
Practice location
3044 Ashly Forest Dr
Snellville, GA 30078-4524
Mailing address
55 Paula Dr
Porterdale, GA 30014-5013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Nurse's Aide | 376K00000X | CN0030028021 (GA) |
| Basic Emergency Medical Technician Primary | 146N00000X | E029658 (GA) |
Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1841605797
Jerome Moore's National Provider Identifier is 1841605797, issued on Jun 29, 2014. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Snellville, GA. The record was last updated on Feb 20, 2020.