Individual
ALIA ALTA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5003 OLD CLINIC BUILDING CB 7550, CHAPEL HILL, NC 27599-4226
(919) 843-4096
Mailing address
PO BOX 1427, CULVER CITY, CA 90232-1427
(775) 843-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022-00487
NC
207R00000X
Internal Medicine Physician
A151427
CA
Other
Enumeration date
04/05/2012
Last updated
04/28/2022
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