Moore, Alexandra Rose

Moore, Alexandra Rose is an individual health care provider with primary practice located at 915 36Th St E , Tifton GA 31794-1522. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Moore, Alexandra Rose can be contacted via phone (229) 326-9517.

Contact Information

Primary practice address
915 36Th St E Tifton GA 31794-1522
Phone: (229) 326-9517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1134756851
LBN Legal business name Moore, Alexandra Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2020
Last updated Mar 24th, 2020 - about 6 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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