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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ENGRA DE'ETE MOORE, BA, MS

Active Sole Proprietor

ENGRA DE'ETE MOORE, BA, MS is a Contractor healthcare provider located in ASHBURN, Georgia. NPI 1083430219 is currently active in the NPPES registry. Verify at CMS.

Contractor · ASHBURN, GA

Registration Details

NPI Number
1083430219
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2024 (1.5520509132765 yrs)
Last Updated
Dec 3, 2024
Sole Proprietor
Yes

Practice Information

Address
521 S JEFFERSON ST
ASHBURN, GA, 317145829
Browse GA providers · Browse ZIP 31714
Phone
2295089551
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in ASHBURN, GA

Name Credential NPI
DEAUNIA SHONTAR ROGERS 1447742150
MONTAKESHA RANGE HILLMON 1992323554
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.