LATECKA S MOORE NPI 1528840428

NPI Information

  • NPI: 1528840428
  • Provider Name: LATECKA S MOORE
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 147 E MONTGOMERY XRD
    SAVANNAH, GA
    ZIP 31406
  • Phone: (912) 201-1701

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NPI Details

Latecka S Moore is a durable medical equipment medical supplies in Savannah, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Latecka S Moore NPI is 1528840428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

147 E MONTGOMERY XRD
SAVANNAH, GA
ZIP 31406-730
Phone: (912) 201-1701

The enumeration date for this NPI number is 10/17/2023 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementCO133923GEORGIANo
2224P00000XProsthetistCO133923GEORGIANo
3225000000XOrthotic FitterCO133923GEORGIANo
4332B00000XDurable Medical Equipment & Medical SuppliesCO133923GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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