MAXINE B MOORE

LILBURN, GA
NPI1992868467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD000409)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
-- MAXINE B MOORE RD, LD
5342 LAWRENCEVILLE HWY NW STE. A
LILBURN, GA 30047-5952
Phone number: 678-924-1546
Mailing Address
-- MAXINE B MOORE RD, LD
PO BOX 897
LAWRENCEVILLE, GA 30046-0897
Phone number: 770-339-4260
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