Individual
MR. JAMES ERVIN MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 W NORTHWOOD ST, GREENSBORO, NC 27401-1324
(336) 355-9696
Mailing address
5213 ELLWORTH RIDGE DR, WALKERTOWN, NC 27051-9648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15781
NC
Other
Enumeration date
10/21/2025
Last updated
10/24/2025
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