Organization
GEORGE MOORE, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HORACE MOORE JR. M.D. (OWNER)
(919) 607-0623
Entity
Organization
Contact information
Practice address
11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
(919) 435-6967
(888) 941-6387
Mailing address
11081 FOREST PINES DR, SUITE 124, RALEIGH, NC 27614-7655
(919) 435-6967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26325
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960521
—
NC
Enumeration date
07/08/2013
Last updated
07/08/2013
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