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Individual

MR. CLAYTON SHUFORD MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC, NP-C

Contact information

Practice address
127 E TRADE ST STE B100, FOREST CITY, NC 28043-2201
(828) 220-4174
(833) 972-5139
Mailing address
PO BOX 335, FOREST CITY, NC 28043-0335
(828) 220-4174
(833) 972-5139

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019362
NC

Other

Enumeration date
01/02/2024
Last updated
08/18/2024
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