Individual
CAROLYN S. MONEYMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7179
(757) 668-9810
Mailing address
PO BOX 741622, ATLANTA, GA 30374-1622
(757) 668-7179
(757) 668-9810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101053458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006732780
—
VA
05
—
6905194
—
NC
Enumeration date
06/16/2006
Last updated
12/11/2012
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