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NPI Profile for JEROME MOORE in PORTERDALE, GA.
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Technician, Basic |
146N00000X | |||
Adult Day Care |
261QA0600X | |||
Nurse's Aide |
376K00000X |
| NPI Number | 1841605797 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/29/2014 | |
| Last updated | 02/20/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEROME MOORE
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JEROME MOORE