Individual
PENELOPE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
PO BOX 11646, LYNCHBURG, VA 24506-1646
(434) 200-5203
(434) 200-7529
Mailing address
PO BOX 11646, LYNCHBURG, VA 24506-1646
(434) 200-5203
(434) 200-7529
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0110011305
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/24/2025
Last updated
10/02/2025
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