Individual
MISS ALLISON MOORE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8779
(919) 350-8812
Mailing address
3809 COMPUTER DR STE 100, RALEIGH, NC 27609-6518
(919) 781-9078
(919) 350-8812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001003863
NC
Other
Enumeration date
10/14/2012
Last updated
11/09/2022
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