Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELATHUM MOORE
ActiveSHELATHUM MOORE is a Driver healthcare provider located in FAIRBURN, Georgia. NPI 1215647573 is currently active in the NPPES registry. Verify at CMS.
Driver · FAIRBURN, GA
Registration Details
- NPI Number
- 1215647573
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.7184701288583 yrs)
- Last Updated
- Nov 28, 2022
- License
-
050219016 (GA)
Practice Information
- Address
-
670 BIRKDALE DRFAIRBURN, GA, 302132924Browse GA providers · Browse ZIP 30213
- Phone
- 6789291123
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in FAIRBURN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. SYREETA NICOLE PALMER | — | 1053111203 |
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.