Organization
MOORE FAMILY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEONARD M.D. (PHYSICIAN)
(910) 947-3000
Entity
Organization
Contact information
Practice address
304 SAUNDERS ST, CARTHAGE, NC 28327-9343
(910) 947-3000
(910) 947-6798
Mailing address
304 SAUNDERS ST, CARTHAGE, NC 28327-9343
(910) 947-3000
(910) 947-6798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
116644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014UM
BLUE CROSS BLUE SHIELD NC
NC
01
—
014UP
BCBS OF NC
NC
05
—
89014UM
—
NC
05
—
89014UP
—
NC
Enumeration date
05/18/2006
Last updated
05/29/2013
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