Individual
GINA CAMPBELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
428 HOSPITAL DRIVE, WARRENTON, VA 20186-3026
(540) 349-0100
(540) 349-4401
Mailing address
428 HOSPITAL DRIVE, WARRENTON, VA 20186-3026
(540) 349-0100
(540) 349-4401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101242072
VA
207V00000X
Obstetrics & Gynecology Physician
41852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043356132
—
VA
05
—
97038351
—
CO
Enumeration date
01/29/2007
Last updated
03/07/2008
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