# MOORE FOOT & ANKLE SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225195746
- **Authorized official:** DR. JOHN CHRISTOPHER MOORE DPM (TREASURY)
- **Authorized official phone:** (828) 350-1880

## Contact information

- **Practice address:** 136 MIMOSA DR, ASHEVILLE, NC 28806-1719
- **Practice address phone:** (828) 350-1880
- **Practice address fax:** (828) 252-2272
- **Mailing address:** 136 MIMOSA DR, ASHEVILLE, NC 28806-1719
- **Mailing address phone:** (828) 350-1880
- **Mailing address fax:** (828) 252-2772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 467 | NC | — |
| 213E00000X | Podiatrist | 477 | NC | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 467 | NC | Yes |
| 213ES0131X | Foot Surgery Podiatrist | 477 | NC | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 04/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016A1 | BCBS | NC |
| 05 | — | 89016MW | — | NC |