Individual
MRS. MODJULIE ALEXANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-9436
(984) 974-4882
Mailing address
590 MANNING DR, CHAPEL HILL, NC 27599-6119
(984) 974-4882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01158
NC
207Q00000X
Family Medicine Physician
248569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730475336
TRICARE
NC
05
—
1730475336
—
NC
01
—
1885D
BCBS
NC
01
—
4012742
CIGNA
NC
01
—
5138994
UNITEDHEALTHCARE
NC
01
—
5803998
AETNA
NC
Enumeration date
06/22/2011
Last updated
03/31/2021
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