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Individual

RUKIAYAH ASHA WARNER-MOXLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2400 N MAIN ST, FUQUAY VARINA, NC 27526-8573
(919) 235-6505
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-02299
NC
390200000X
Student in an Organized Health Care Education/Training Program
303128
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447832126
NC
Enumeration date
04/22/2021
Last updated
09/16/2024
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