Individual
DR. GREGORY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2005 N MAIN ST # T, SUITE A, TARBORO, NC 27886-2132
(252) 824-3003
(252) 824-3004
Mailing address
2005 N MAIN ST, SUITE A, TARBORO, NC 27886-2132
(252) 824-3003
(252) 824-3004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08658
BCBS
NC
05
—
8908658
—
NC
Enumeration date
10/03/2006
Last updated
02/11/2010
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