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Individual

DR. COREY SCOTT MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-0996
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101278509
VA
207P00000X
Emergency Medicine Physician
2022-03206
NC

Other

Enumeration date
04/08/2020
Last updated
10/22/2025
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