Individual
GREGORY L MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 230, ASHLAND, KY 41101-2873
(606) 326-1675
(606) 326-1436
Mailing address
PO BOX 1237, ASHLAND, KY 41105-1237
(606) 326-1675
(606) 326-1436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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