Organization
FEMINA WOMEN'S CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JACKSON MOORE MD (MEDICAL DOCTOR)
(336) 389-9898
Entity
Organization
Contact information
Practice address
802 GREEN VALLEY RD, SUITE 200, GREENSBORO, NC 27408-7041
(336) 389-9898
(336) 275-3550
Mailing address
802 GREEN VALLEY RD, SUITE 200, GREENSBORO, NC 27408-7041
(336) 389-9898
(336) 275-3550
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014E9
—
NC
Enumeration date
03/26/2007
Last updated
12/09/2010
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