SHANNON SMITH MOORE

COLUMBUS, GA
NPI1316199128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: GA  RN089911)
Enumeration Date2008-10-13
Last Update Date2012-06-11
Business Address
-- SHANNON SMITH MOORE CNNP
710 CENTER ST
COLUMBUS, GA 31901-1527
Phone number: 706-571-1692
Mailing Address
-- SHANNON SMITH MOORE CNNP
PO BOX 1038
COLUMBUS, GA 31902-1038
Phone number: 706-571-1692
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