Individual
PAUL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 DOCTORS DR, BOONE, NC 28607-5000
(828) 262-3886
(828) 265-4816
Mailing address
854 PARKCREST DR, BOONE, NC 28607-5198
(828) 773-2702
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002554
NC
133NN1002X
Nutrition Education Nutritionist
L002554
NC
133V00000X
Registered Dietitian
Primary
949600
—
Other
Enumeration date
05/13/2013
Last updated
09/10/2018
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