Individual
DAVID F. MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4515 PREMIER DR STE 404, HIGH POINT, NC 27265-8356
(336) 802-2085
(336) 802-2086
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9400588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040012294
RR MEDICARE
NC
05
—
8960206
—
NC
Enumeration date
07/17/2006
Last updated
12/27/2019
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