Individual
MISS CAROLYN BAINDU MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, DEPARTMENT OF SURGERY, ATLANTA, GA 30310-1458
(404) 616-1426
Mailing address
145 HOSPITAL AVE STE 300, DU BOIS, PA 15801-1465
(678) 557-8078
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020020179
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD482549
PA
Other
Enumeration date
04/24/2013
Last updated
11/13/2023
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