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

MS. Raven Moore

Individual provider Phlebotomy Technician · NPI 1063253136

MS. Raven Moore is a Phlebotomy Technician in Rockmart, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

154 Chief Ct
Rockmart, GA 30153-8020
Phone: (678) 994-6085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence J6G4Z3L9 (GA)

Record details

NPI number1063253136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address154 Chief Ct, Rockmart, GA 30153-8020

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