Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Engra De'Ete Moore, BA, MS

Individual provider Contractor · NPI 1083430219

Engra De'Ete Moore, BA, MS is a Contractor in Ashburn, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

521 S Jefferson St
Ashburn, GA 31714-5829
Phone: (229) 508-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1083430219
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , MS
Sole proprietorYes
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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