Engra De'ete Moore, BA, MS
Contractor · Ashburn, GA
NPI number
1083430219
Practice location
521 S Jefferson StAshburn, GA 31714-5829
- Phone
- (229) 508-9551
NPI record
- NPI
- 1083430219
- Entity type
- Individual (Type 1)
- Enumeration date
- December 3, 2024
- Last updated
- December 3, 2024
- Certified
- December 3, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Engra Moore
Engra De'ete Moore, BA, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 521 S Jefferson St, Ashburn, GA 31714-5829. The NPI number 1083430219 was assigned on December 3, 2024 and the record was last updated on December 3, 2024.
Frequently asked questions
What is the NPI number of Engra De'ete Moore, BA, MS?
The NPI number is 1083430219.
What is the phone number of Engra Moore?
The phone number listed for the practice location is (229) 508-9551.
Where is Engra Moore located?
521 S Jefferson St, Ashburn, GA 31714-5829.
What is the taxonomy code for Engra Moore?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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