Individual
DONNESHIA GABRIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-4212
(252) 824-1581
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-4212
(252) 824-1581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-01713
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2010
Last updated
01/12/2022
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