Tara Thompson Moore

NPI 1063714046 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1063714046
Gender Female
Enumeration Date 11/24/2010
Last Updated 11/24/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
426 GA HIGHWAY 26 E
COCHRAN GA, 31014-2837, US
Phone (478) 934-2874
Fax (478) 934-2876
Business Location
426 GA HIGHWAY 26 E
COCHRAN GA, 31014-2837, US
Phone (478) 934-2874
Fax (478) 934-2876
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN164184
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According to our database, Mrs. Tara Thompson Moore NPI is 1063714046, taxonomy code is 363LF0000X and license number is RN164184, license state is located at Georgia. Tara Thompson Moore physically located at 426 Ga Highway 26 E, Cochran GA, 31014-2837. NPI Number Tara Thompson Moore has the Individual type.

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1063714046 NPI number is provided on an as is basis without warranty of any kind. 1063714046 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Thompson Moore are for informational purposes only.