# GEORGE MOORE, MD PLLC

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

## Provider details

- **NPI number:** 1265873277
- **Authorized official:** DR. GEORGE HORACE MOORE JR. M.D. (OWNER)
- **Authorized official phone:** (919) 607-0623

## Contact information

- **Practice address:** 11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
- **Practice address phone:** (919) 435-6967
- **Practice address fax:** (888) 941-6387
- **Mailing address:** 11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
- **Mailing address phone:** (919) 435-6967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26325 | NC | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 07/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8960521 | — | NC |
