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1750832168
ALISA MOORE
ATLANTA, GA
NPI
1750832168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN210332)
Enumeration Date
2016-10-20
Last Update Date
2022-06-06
Business Address
ALISA MOORE CPNP
1001 JOHNSON FY RD NE
ATLANTA, GA 30342-1605
Phone number: 404-785-7112
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Mailing Address
ALISA MOORE CPNP
1001 JOHNSON FY RD NE
ATLANTA, GA 30342-1605
Phone number: 404-785-7112
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