NPI 1205548617

Tasheta Moore

Practitioner Case Management Agency Columbus, GA

Practice location

Address: 938 Fairfield Dr, Columbus, GA 31906-4220
Phone: (706) 450-5915

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1205548617
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2022
Record last updated: 16 Dec 2022

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.