Individual
DR. NATALIE E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13620 CRAYTON BLVD, HAGERSTOWN, MD 21742-2335
(240) 313-3100
(240) 313-3101
Mailing address
13620 CRAYTON BLVD, HAGERSTOWN, MD 21742-2335
(240) 313-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D74830
MD
207Q00000X
Family Medicine Physician
ME11158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057496100
—
MD
Enumeration date
06/14/2012
Last updated
05/28/2019
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