Moore, Elizabeth Marie

Moore, Elizabeth Marie is an individual health care provider with primary practice located at 1143 West Ave Sw , Conyers GA 30012-5280. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moore, Elizabeth Marie can be contacted via phone (888) 329-4535.

Contact Information

Primary practice address
1143 West Ave Sw Conyers GA 30012-5280
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Georgia

Profile Details

NPI number 1063123818
LBN Legal business name Moore, Elizabeth Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 4 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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