Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebonie Monique Moore

Individual provider Contractor · NPI 1861041865

Ebonie Monique Moore is a Contractor in Scottdale, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

3538 Lantern View Ln
Scottdale, GA 30079-6806
Phone: (470) 269-4271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (GA)

Record details

NPI number1861041865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESSeptember 11, 2019
Mailing address3538 Lantern View Ln, Scottdale, GA 30079-6806

Other providers in Scottdale