Individual
DR. TAMMY NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
(910) 791-9626
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
(910) 791-9626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101234908
VA
207P00000X
Emergency Medicine Physician
201100596
NC
207P00000X
Emergency Medicine Physician
Primary
48109
TN
Other
Enumeration date
02/21/2006
Last updated
07/20/2021
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