Individual
JOSHUA LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 N 2ND AVE, MAYODAN, NC 27027-2410
(276) 229-5323
Mailing address
325 N 2ND AVE, MAYODAN, NC 27027-2410
(276) 229-5323
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
000046255666
NC
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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