Individual
JOHNNY MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
341A WHITEVILLE RD NW, SHALLOTTE, NC 28470-4507
(910) 567-6194
(910) 567-5661
Mailing address
PO BOX 340, FOUR OAKS, NC 27524-0340
(910) 567-6194
(910) 567-5661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000240
—
CA
Enumeration date
01/24/2014
Last updated
04/23/2024
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