Individual
SYBILLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2083
Mailing address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004944
VA
Other
Enumeration date
05/26/2015
Last updated
07/08/2021
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