Individual provider · Type 1 NPI

Ebonie Monique Moore

Contractor · Scottdale, GA

NPI number 1861041865 Active

Practice location

3538 Lantern View Ln
Scottdale, GA 30079-6806

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 1861041865

Ebonie Monique Moore's National Provider Identifier is 1861041865, issued on Sep 11, 2019. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Scottdale, GA. The record was last updated on Sep 11, 2019.