IndividualActive
Jerome Moore
NPI 1841605797 · Basic Emergency Medical Technician · Snellville, GA
Provider details
- NPI number
- 1841605797
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Emergency Medical Service Providers
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Nursing Service Related Providers
Practice location
3044 Ashly Forest Dr
Snellville, GA 30078-4524
Phone: (770) 896-1413
Approximate (ZIP-level) locationGet directions
Mailing address
55 Paula Dr
Porterdale, GA 30014-5013
Registry dates
- Enumerated
- 2014-06-29
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.