Individual
DR. DELISHA AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
106 LONG CIR, ROANOKE RAPIDS, NC 27870-3138
(252) 537-6101
(252) 537-6103
Mailing address
106 LONG CIR, ROANOKE RAPIDS, NC 27870-3138
(252) 537-6101
(252) 537-6103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09663
BCBSNC
NC
05
—
89093HC
—
NC
Enumeration date
02/09/2006
Last updated
09/30/2008
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