NPI 1134756851

Alexandra Rose Moore

Practitioner Contractor Tifton, GA

Practice location

Address: 915 36th St E, Tifton, GA 31794-1522
Phone: (229) 326-9517

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1134756851
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2020
Record last updated: 24 Mar 2020

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.