Organization
CAROL E MOORE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MOORE MD (DIRECTOR)
(336) 659-9440
Entity
Organization
Contact information
Practice address
2828B MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 659-9440
Mailing address
2828B MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 659-9440
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
34108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34108
LICENSE
NC
Enumeration date
03/24/2016
Last updated
04/08/2016
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