Individual
CASSIDY BOONE PATE-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 S 17TH ST, WILMINGTON, NC 28401-7593
(910) 763-3333
(910) 799-2943
Mailing address
2208 S 17TH ST, WILMINGTON, NC 28401-7593
(910) 763-3333
(910) 799-2943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
04/29/2025
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