Individual
DR. CHARLES F MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3897 CHARLESTOWN RD, NEW ALBANY, IN 47150-9562
(502) 495-3665
(502) 874-5536
Mailing address
3897 CHARLESTOWN RD, NEW ALBANY, IN 47150-9562
(502) 495-3665
(502) 874-5536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41169
KY
207RR0500X
Rheumatology Physician
Primary
01056663A
IN
207RR0500X
Rheumatology Physician
41169
KY
208M00000X
Hospitalist Physician
01056663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518340
—
IN
05
—
64102056
—
KY
01
—
P00248435
RR MCARE PIN
IN
Enumeration date
07/18/2006
Last updated
03/05/2025
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