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Matthew Moore, BSN, RN — NPI 1043045537, Dallas, GA | NPI Central

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NPI 1043045537

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Matthew Moore, BSN, RN

NPI 1043045537 · Administrator Registered Nurse · Dallas, GA

Provider details

NPI number: 1043045537
Entity type: Individual
Primary specialty: Administrator Registered NurseNursing Service Providers
Credential: BSN, RN
Sex: Male
Sole proprietor: Yes
License: RN266385 (GA)

Practice location

88 Sparkleberry Ln E

Dallas, GA 30132-7578

Phone: (770) 605-7982

More GA providers

Mailing address

88 Sparkleberry Ln E

Dallas, GA 30132-7578

Registry dates

Enumerated: 2024-09-04
Last updated: 2024-09-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.