Individual
MERCY ROSSANA BAYOT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD STE 220, SUITE 220, CHARLOTTE, NC 28207-1109
(704) 316-1125
(704) 316-1143
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1125
(704) 316-1143
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2013-02457
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
J9965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119250204
—
TX
Enumeration date
07/28/2005
Last updated
10/25/2020
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