Individual
DR. CHARLES K. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-9999
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
13284
MS
207RC0000X
Cardiovascular Disease Physician
13284
MS
207RC0000X
Cardiovascular Disease Physician
Primary
MD.49101
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110493
—
MS
05
—
1687821
—
LA
01
—
P00618863
RAILROAD MEDICARE
MS
01
—
RR 060036949
RAILROAD
MS
Enumeration date
07/20/2006
Last updated
08/06/2024
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