Individual
CHIMER D MOORE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 VIRGINIA AVENUE, WYTHEVILLE, VA 24382
(276) 228-2191
(276) 228-2801
Mailing address
360 VIRGINIA AVENUE, WYTHEVILLE, VA 24382
(276) 228-2191
(276) 228-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101012583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5609534
—
VA
Enumeration date
02/01/2006
Last updated
07/08/2007
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