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Dr. Carol E Moore, MD
Specialist in Winston Salem, North Carolina
NPI 1326025156

Carol E Moore is a Specialist based in Winston Salem, NC. Carol E Moore practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Carol E Moore is 1326025156 and holds a License No. 19065 (North Carolina).

The current practice location address for Carol E Moore is 2828 Maplewood Ave, Winston Salem, NC and can be reached out via phone at 336-794-1444 and via fax at 336-794-1477.

Location: 2828 Maplewood Ave, Winston Salem, NC, 27103-4138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326025156
Provider Name
Carol E Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2828 Maplewood Ave, Winston Salem, NC, 27103-4138
Phone Number
336-794-1444
Fax Number
336-794-1477
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1766 05 SC
institution
Provider Business Practice Location Address Details
Address
2828 Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-794-1444
Fax Number
336-794-1477
person
Provider Business Mailing Address Details
Address
2828 Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-794-1444
Fax Number
336-794-1477
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
19065 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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