# DR. JAMES D MOORE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508848375
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101025906 | VA | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002074 | ANTHEM | — |
| 05 | — | 006260802 | — | VA |
| 05 | — | 1508848375 | — | VA |
| 01 | — | C08321 | MEDICARE GROUP | — |
| 01 | — | CK3042 | MDCR RR | — |
| 01 | — | TN0101 | JOHN DEERE | — |