Organization
H. G. MOORE, III & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN H. MOORE (BOOKKEEPER)
(919) 731-2331
Entity
Organization
Contact information
Practice address
2702 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 731-2331
(919) 731-2625
Mailing address
PO BOX 1299, GOLDSBORO, NC 27533-1299
(919) 731-2331
(919) 731-2625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996070
—
NC
Enumeration date
06/17/2006
Last updated
08/22/2020
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