Individual
JAMES LAWRENCE MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 SUNFLOWER FIELD PL, MATTHEWS, NC 28104-7623
(704) 668-9195
Mailing address
1428 SUNFLOWER FIELD PL, MATTHEWS, NC 28104-7623
(704) 668-9195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220005
NC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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