Individual
DR. STEPHEN CHARLES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(704) 973-2106
(704) 973-2395
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 973-2106
(704) 973-2395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9400940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960218
—
NC
Enumeration date
10/22/2005
Last updated
10/28/2020
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