Moore, Shawn William

Moore, Shawn William is an individual health care provider with primary practice located at 400 Dawson Commons Cir Ste 410 , Dawsonville GA 30534-6269. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Moore, Shawn William can be contacted via phone (470) 773-6725.

Contact Information

Primary practice address
400 Dawson Commons Cir Ste 410 Dawsonville GA 30534-6269
Phone: (470) 773-6725
Fax: (470) 773-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN191172 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP191172 Georgia

Profile Details

NPI number 1619222528
LBN Legal business name Moore, Shawn William
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Nov 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619222528 NPPES
Georgia MEDICAID 003125809I
Georgia MEDICAID 003125809
Georgia MEDICAID 003125809B
Georgia MEDICAID 003125809Q
Georgia Other 01667286
Georgia MEDICAID 003125809F
Georgia MEDICAID 003125809G
Georgia MEDICAID 003125809K
Georgia MEDICAID 003125809L
Georgia MEDICAID 003125809J
Georgia MEDICAID 003125809A

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