Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONIE MONIQUE MOORE
ActiveEBONIE MONIQUE MOORE is a Contractor healthcare provider located in SCOTTDALE, Georgia. NPI 1861041865 is currently active in the NPPES registry. Verify at CMS.
Contractor · SCOTTDALE, GA
Registration Details
- NPI Number
- 1861041865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2019 (6.7405036449175 yrs)
- Last Updated
- Sep 11, 2019
Practice Information
- Address
-
3538 LANTERN VIEW LNSCOTTDALE, GA, 300796806Browse GA providers · Browse ZIP 30079
- Phone
- 4702694271
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SCOTTDALE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. IRISH R BIGBY | — | 1093151110 |
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.