person
Tyler Moore, PA
Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina
NPI 1982334751

Tyler Moore is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Tyler Moore practices in Wilmington, NC and has the professional credentials of PA. The NPI Number for Tyler Moore is 1982334751 and holds a License No. (North Carolina).

The current practice location address for Tyler Moore is 1025 Medical Center Dr, Wilmington, NC and can be reached out via phone at 910-762-3882.

Location: 1025 Medical Center Dr, Wilmington, NC, 27858-9743
person
Provider Profile Details
NPI Number
1982334751
Provider Name
Tyler Moore
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1025 Medical Center Dr, Wilmington, NC, 27858-9743
Phone Number
910-762-3882
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 Medical Center Dr
City
State
Zip
28401-7354
Phone Number
910-762-3882
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Medical Center Dr
City
State
Zip
28401-7354
Phone Number
910-762-3882
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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