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

Latecka S Moore

Individual provider Prosthetics Case Management · NPI 1528840428

Latecka S Moore is a Prosthetics Case Management in Savannah, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
4

Practice location Address checks out

147 E Montgomery Xrd
Savannah, GA 31406-4730
Phone: (912) 201-1701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence CO133923 (GA)
Prosthetics Case Management Taxonomy 1744P3200X · Licence CO133923 (GA)
Prosthetist Taxonomy 224P00000X · Licence CO133923 (GA)
Orthotic Fitter Taxonomy 225000000X · Licence CO133923 (GA)

Record details

NPI number1528840428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address147 E Montgomery Xrd, Savannah, GA 31406-4730

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