Individual
WENDY COLLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2000 00556
NC
207RP1001X
Pulmonary Disease Physician
Primary
2000 00556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127UW
BCBS
NC
05
—
3004784000
—
WV
01
—
43246
PARTNERS
NC
05
—
5854181
—
VA
01
—
7577328
AETNA
NC
05
—
89127UW
—
NC
01
—
99594
MEDCOST
NC
05
—
Q00557
—
SC
Enumeration date
11/22/2005
Last updated
05/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us