Individual
ERIN MADISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER BLVD #8, WINSTON SALEM, NC 27157-0001
(336) 713-5660
Mailing address
1 MEDICAL CENTER BLVD #8, WINSTON SALEM, NC 27157-0001
(336) 713-5660
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
0010-13940
NC
363A00000X
Physician Assistant
0010-13940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-13940
NCMB
NC
01
—
1215979
NCCPA
—
01
—
225406755001
ACLS
AL
01
—
225416754419
BLS
AL
Enumeration date
02/06/2024
Last updated
02/11/2026
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