SHELATHUM MOORE

Driver

Active Individual
NPI: 1215647573

Practice Address

670 BIRKDALE DR
Fairburn, GA 30213

Phone: (678) 929-1123

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 050219016 (GA)

Frequently Asked Questions

NPI 1215647573 is the National Provider Identifier for SHELATHUM MOORE, a Driver provider located in Fairburn, GA. This NPI was enumerated on November 28, 2022.
SHELATHUM MOORE practices at 670 BIRKDALE DR, Fairburn, GA 30213.

Quick Facts

NPI
1215647573
Type
Individual
Enumerated
Nov 28, 2022
Last Updated
Nov 28, 2022

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