Organization
MORCOM MEDICAL CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN R MOORE (ADMINISTRATIVE OFFICER)
(252) 521-0030
Entity
Organization
Contact information
Practice address
235 JENKINS RD, DOVER, NC 28526
(252) 521-0030
Mailing address
235 JENKINS RD, DOVER, NC 28526-9399
(252) 521-0030
(252) 522-3851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
127699
NC
2084P0005X
Neurodevelopmental Disabilities Physician
127699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335762
MEDICARE PROVIDER NUMBER
NC
05
—
890257L
—
NC
Enumeration date
12/20/2006
Last updated
08/21/2018
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