Individual
JAMES H MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22909-0001
(434) 924-8485
(434) 924-9295
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101245171
VA
207P00000X
Emergency Medicine Physician
35-082845
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801969100
—
VA
Enumeration date
11/16/2006
Last updated
05/13/2009
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