Organization
MOORE FAMILY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ENNIS (ADMINISTRATOR)
(910) 948-2059
Entity
Organization
Contact information
Practice address
301 S MIDDLETON ST, ROBBINS, NC 27325-8407
(910) 948-2059
(910) 948-2443
Mailing address
301 S MIDDLETON ST, ROBBINS, NC 27325-8407
(910) 948-2059
(910) 948-2443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9601161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905700
—
NC
Enumeration date
09/11/2008
Last updated
12/31/2008
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