Organization
CLEARWATER HEALTH DPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER MOORE MD (MEDICAL DIRECTOR)
(304) 672-3225
Entity
Organization
Contact information
Practice address
1440 CHAPEL RIDGE RD STE 110, APEX, NC 27502-8633
(910) 586-1960
(910) 226-0957
Mailing address
322 SHADY LN, CAMERON, NC 28326-7440
(304) 672-3225
(910) 226-0957
Taxonomy
Speciality
Code
Description
License number
State
207QD0401X
Diabetology (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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