Individual
BRIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
575 INDUSTRIAL DR, LOUISA, VA 23093-4146
(540) 967-2011
(540) 967-2982
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024194851
VA
363LF0000X
Family Nurse Practitioner
Primary
0024194851
VA
Other
Enumeration date
10/01/2025
Last updated
11/14/2025
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