Individual
DR. WILLIAM NICHOLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
4413 WINTERBERRY RIDGE CT, WINSTON SALEM, NC 27103-9742
(336) 778-2927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
390200000X
NC
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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