Individual
HELEN MILLER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1930 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1185
(833) 510-4357
(276) 883-8075
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005141
VA
363A00000X
Physician Assistant
Primary
100812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881660371
—
VA
01
—
P01680339
RAILROAD MEDICARE
VA
05
—
Q018823
—
TN
Enumeration date
02/24/2006
Last updated
05/06/2025
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