Individual ProviderGeraldine L MooreNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5805 State Bridge Rd, Duluth, GA 30097-8220(678) 495-0162(770) 469-5494PECOS EnrollmentBased on the most recent information from CMS, provider Geraldine L Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:24 AM.Profile DetailsProvider ID1568516425Provider TypeIndividualFull NameMoore, Geraldine LCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5805 State Bridge Rd, Duluth, GA 30097-8220Phone(678) 495-0162Fax(678) 495-0163Mailing LocationMailing Address5609 Mountain View Pt, Stone Mountain, GA 30087-6022Phone(770) 469-5494FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense086734Georgia