Alexandra Rose Moore
Alexandra Rose Moore is a Contractor in Tifton, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
915 36th St ETifton, GA 31794-1522
Phone: (229) 326-9517
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Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1134756851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 24, 2020 |
| Last updated in NPPES | March 24, 2020 |
| Certification date | March 24, 2020 |
| Mailing address | 915 36th St E, Tifton, GA 31794-1522 |
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