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Carol E Moore Md Pllc
Gynecology Physician in Winston Salem, North Carolina
NPI 1013379429

Carol E Moore Md Pllc is a Gynecology Physician based in Winston Salem, NC and is specialized in Gynecology. Carol E Moore Md Pllc practices in Winston Salem, NC. The NPI Number for Carol E Moore Md Pllc is 1013379429 and holds a License No. 34108 (North Carolina).

The current practice location address for Carol E Moore Md Pllc is 2828B Maplewood Ave, Winston Salem, NC and can be reached out via phone at 336-659-9440.

Location: 2828B Maplewood Ave, Winston Salem, NC, 27103-4138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013379429
Provider Name
Carol E Moore Md Pllc
Credential
Provider Entity Type
Organization
Address
2828B Maplewood Ave, Winston Salem, NC, 27103-4138
Phone Number
336-659-9440
Fax Number
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34108 01 NC LICENSE
institution
Provider Business Practice Location Address Details
Address
2828B Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-659-9440
Fax Number
person
Provider Business Mailing Address Details
Address
2828B Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-659-9440
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
34108 (North Carolina)
Definition
Definition to come...
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