NPI 1003780677

Jeida Moore, CNA

Practitioner Case Manager/Care Coordinator Mableton, GA

Practice location

Address: 6969 Gallant Cir SE, Mableton, GA 30126-4683
Phone: (229) 443-5190

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence CN0030099094 (GA)

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Registry record

NPI: 1003780677
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2025
Record last updated: 6 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.