Individual
SCOTT MATTHEW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7251
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2010-01030
NC
208600000X
Surgery Physician
Primary
DR.0057106
CO
Other
Enumeration date
05/31/2007
Last updated
02/12/2024
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