Organization
MOORE FAMILY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEONARD MD (MD)
(910) 245-7678
Entity
Organization
Contact information
Practice address
3349 US HWY 1, VASS, NC 28394-0647
(910) 245-7678
(910) 245-1444
Mailing address
3349 US HWY 1, VASS, NC 28394-0647
(910) 245-7678
(910) 245-1444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9601161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014UP
—
NC
Enumeration date
09/18/2008
Last updated
09/18/2008
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