Individual
DR. FRANKLIN SCOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1444
(304) 768-0700
(304) 768-9790
Mailing address
4501 MACCORKLE AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309-1444
(304) 768-0700
(304) 768-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1690
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721812
BC BS
WV
05
—
0850003000
—
WV
Enumeration date
07/27/2006
Last updated
01/23/2017
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