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Individual

DR. RICHARD ANTHONY MOORE II

Active
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Individual

DR. RICHARD ANTHONY MOORE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01370
NC
207Q00000X
Family Medicine Physician
248568
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888M
BCBS OF NC
NC
01
—
1902192503
TRICARE
NC
05
—
1902192503
—
NC
01
—
4905686
AETNA
NC
01
—
5140629
UNITEDHEALTHCARE
NC
01
—
5325277
CIGNA
NC
Enumeration date
06/22/2011
Last updated
03/31/2021
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