Individual
CRAIG COWAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD IM
Contact information
Practice address
90 HOSPITAL DR, BREVARD, NC 28712
(828) 884-9111
Mailing address
623 HART RD, PISGAH FOREST, NC 28768-8637
(828) 883-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60522
BCBSNC ER PROF SERVICE
NC
05
—
8960522
—
NC
Enumeration date
08/05/2006
Last updated
07/09/2007
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