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Individual

CHRISTINA LYNN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025-2911
(704) 782-1892
Mailing address
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025-2911
(704) 782-1892

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9901443
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1338G
BCBS
NC
05
891338G
NC
05
Q0144B
SC
Enumeration date
05/05/2006
Last updated
11/21/2013
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