Organization
GREGORY SCOTT MOORE OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S MOORE (PRESIDENT)
(304) 205-5844
Entity
Organization
Contact information
Practice address
301 RHL BLVD., STE 2020, SOUTH CHARLESTON, WV 25309-8291
(304) 205-5844
(304) 205-5867
Mailing address
PO BOX 11846, CHARLESTON, WV 25339-1846
(304) 205-5844
(304) 205-5867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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