Henry, Madonna Moore
Henry, Madonna Moore is an individual health care provider with primary practice located at 16915 Highway 67 Suite A, Statesboro GA 30458-5819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henry, Madonna Moore can be contacted via phone (912) 644-5300.Contact Information
Primary practice address
16915 Highway 67 Suite A
Statesboro GA 30458-5819
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005351 | Georgia |
Profile Details
| NPI number | 1750545737 |
|---|---|
| LBN Legal business name | Henry, Madonna Moore |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2008 |
| Last updated | May 26th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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