Individual
LAURA PIPPITT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 CAMDEN RD STE 107-259, CHARLOTTE, NC 28203
(704) 998-5680
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2018-01347
NC
207L00000X
Anesthesiology Physician
91804
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
05/01/2024
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