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

Shawn Anthony Moore

Individual provider Intermediate Emergency Medical Technician · NPI 1750800058

Shawn Anthony Moore is an Intermediate Emergency Medical Technician in Stone Mountain, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

900 N Hairston Rd Ste A3
Stone Mountain, GA 30083-2857
Phone: (678) 902-4947
Show map & directions

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

Additional practice locations (1)

  • 900 N Hairston Rd Ste A, Stone Mountain, GA 30083-2857 — (678) 902-4947

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence 00243250 (GA)

Record details

NPI number1750800058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESMarch 17, 2018
Mailing address1921 Brook View Ave, Doraville, GA 30340-3850

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