Shireen Qureshi Moore
Family Doctor
363 N Belair Rd
Evans
, Georgia 30809-3096
Shireen Qureshi Moore
Family Doctor
363 N Belair Rd
Evans
, Georgia 30809-3096
(706) 922-8251
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Shireen Qureshi Moore
- Po Box 2510
- Evans, GA
- Zip : 30809-2510
- Fax : (706) 922-8251
- Phone : (706) 922-8251
Second Address
- Shireen Qureshi Moore
- 363 N Belair Rd
- Evans, GA
- Zip : 30809-3096
- Fax : (706) 650-9540
- Phone : (706) 650-7563
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 068456 | GA |
National Provider Identifier
| NPI | 1003042805 |
|---|---|
| Provider Name | Shireen Qureshi Moore |
| First Address | Evans, GA 30809-2510 |
| Second Address | Evans, GA 30809-3096 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2009 |
| Last Update Date | 12/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.