Individual
MR. HARRY LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2503 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9401
(919) 734-1311
(919) 734-8816
Mailing address
2503 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9401
(919) 734-1311
(919) 734-8816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07802
BCBS
NC
05
—
7212028
—
NC
Enumeration date
07/27/2006
Last updated
02/07/2008
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