Individual
PATRICIA M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 JAKE ALEXANDER BLVD W STE 102, SALISBURY, NC 28147
(704) 637-1779
(704) 637-1121
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 637-1779
(704) 637-1121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101252879
VA
2084N0400X
Neurology Physician
Primary
22019
NC
2084N0400X
Neurology Physician
MD066685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830438
—
VA
Enumeration date
08/04/2011
Last updated
08/09/2018
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