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Individual

ANDREW J MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 COURT DRIVE GASTONIA PHYSICIAN SERVICES, PLLC, GASTONIA, NC 28054-2140
(704) 834-3471
Mailing address
2525 COURT DRIVE GASTONIA PHYSICIAN SERVICES, PLLC, GASTONIA, NC 28054-2140
(704) 834-3471

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-02448
NC
207P00000X
Emergency Medicine Physician
252576
MD

Other

Enumeration date
06/04/2012
Last updated
04/10/2020
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