Shelathum Moore
Shelathum Moore is a Driver in Fairburn, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
670 Birkdale DrFairburn, GA 30213-2924
Phone: (678) 929-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 050219016 (GA) |
|---|
Record details
| NPI number | 1215647573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 28, 2022 |
| Last updated in NPPES | November 28, 2022 |
| Certification date | November 28, 2022 |
| Mailing address | 225 Market Place Connector # 1144, Peachtree City, GA 30269-3542 |
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