Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEROME MOORE
Active Sole ProprietorMR. JEROME MOORE is a Emergency Medical Technician, Basic healthcare provider located in SNELLVILLE, Georgia. NPI 1841605797 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · SNELLVILLE, GA
Registration Details
- NPI Number
- 1841605797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2014 (12.137492776592 yrs)
- Last Updated
- Feb 20, 2020
- Licenses
-
CN0030028021 (GA)E029658 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3044 ASHLY FOREST DRSNELLVILLE, GA, 300784524Browse GA providers · Browse ZIP 30078
- Phone
- 7708961413
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
- Additional Specialty
- Nurse's Aide
- Additional Specialty
- Emergency Medical Technician, Basic
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.