Individual
DR. MARY PATRICIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 BROAD ST STE E, KERNERSVILLE, NC 27284-2948
(336) 277-6050
(336) 992-3141
Mailing address
280 BROAD ST STE E, KERNERSVILLE, NC 27284-2948
(336) 277-6050
(336) 992-3141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007-01142
NC
Other
Enumeration date
11/13/2007
Last updated
10/25/2020
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