NPI 1992860902
Lorraine Benson Moore, MED
Practice location
- Address
- 4981 Waterford Dr SW, Mableton, GA 30126-1736
- Phone
- (770) 819-9314
- Fax
- (770) 819-9314
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1992860902
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Dec 2006
- Record last updated
- 8 Jul 2007
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.