Individual
DR. CAROL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34223
NC
207Q00000X
Family Medicine Physician
34223
NC
208200000X
Plastic Surgery Physician
34223
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60198
BCBSNC
NC
05
—
8960198
—
NC
Enumeration date
11/08/2006
Last updated
09/30/2021
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