Moore, Nicole

Moore, Nicole is an individual health care provider with primary practice located at 1120 15Th St Ba-1565, Augusta GA 30912-0004. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Nicole can be contacted via phone (706) 721-7602.

Contact Information

Primary practice address
1120 15Th St Ba-1565 Augusta GA 30912-0004
Fax: (706) 721-7524
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD002941 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2109 Kentucky

Profile Details

NPI number 1346683372
LBN Legal business name Moore, Nicole
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Apr 9th, 2013 - 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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