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MS. RAVEN MOORE
NPI 1063253136
Technician, Pathology - Phlebotomy in Rockmart, GA

Active since June 03, 2024
154 CHIEF CT, ROCKMART, GA 30153(678) 994-6085 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Raven Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RAVEN MOORE (NPI 1063253136) is an individual phlebotomy provider in Rockmart, Georgia, licensed in Georgia (J6G4Z3L9) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1063253136
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameMS. RAVEN MOORE
Location Address154 CHIEF CTRockmart, GA 30153-8020
Mailing Address154 Chief CtRockmart, GA 30153-8020 · (678) 994-6085
Phone(678) 994-6085
Sole ProprietorYes
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1063253136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in GA · J6G4Z3L9
154 CHIEF CT, Rockmart, GA 30153
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Moore's NPI number?

The NPI number for Raven Moore is 1063253136. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Raven Moore located?

Raven Moore practices at 154 Chief Ct, Rockmart, GA 30153. The listed phone number is (678) 994-6085.

What is Raven Moore's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Raven Moore was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.