Individual
MS. CARLITTA MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1200 MURCHISON RD, FAYETTEVILLE, NC 28301-4252
(910) 672-1065
(910) 672-1732
Mailing address
1200 MURCHISON RD, FAYETTEVILLE, NC 28301-4252
(910) 672-1065
(910) 672-1732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1739
NC
Other
Enumeration date
06/20/2012
Last updated
11/21/2013
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