Individual
ELLEN JANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 VANDERBILT PARK DR STE 100, ASHEVILLE, NC 28803-2476
(828) 258-0397
(282) 777-8158
Mailing address
4 VANDERBILT PARK DR STE 100, ASHEVILLE, NC 28803-2476
(828) 258-0397
(282) 777-8158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201500325
NC
207R00000X
Internal Medicine Physician
39983
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
39983
SC
Other
Enumeration date
05/28/2010
Last updated
08/06/2024
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