Moore, Martha Michelle

Moore, Martha Michelle is an individual health care provider with primary practice located at 2799 Lawrenceville Hwy Ste 107 , Decatur GA 30033-2517. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Martha Michelle can be contacted via phone (678) 739-1879.

Contact Information

Primary practice address
2799 Lawrenceville Hwy Ste 107 Decatur GA 30033-2517
Phone: (678) 739-1879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN1035743 District of Columbia
Nursing Service Providers / Registered Nurse 163W00000X RN222920 Georgia
Nursing Service Providers / Registered Nurse 163W00000X 95041728 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 222920 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 222920 Georgia

Profile Details

NPI number 1144739533
LBN Legal business name Moore, Martha Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Feb 18th, 2025 - about last year

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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