Charles A Moore MD

NPI 1003816372 - Internal Medicine - 207R00000X

NPI Details
NPI 1003816372
Gender Male
Enumeration Date 07/28/2005
Last Updated 04/27/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
123 N 19TH ST
SUITE 201
MIDDLESBORO KY, 40965-2865, US
Phone (606) 248-0090
Fax (606) 248-8803
Business Location
PO BOX 309
MIDDLESBORO KY, 40965-0309, US
Phone (606) 248-0090
Fax (606) 248-8803
Toxanomy
Taxonomy Code 207R00000X
License State Kentucky
License Number 22757
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According to our database, Charles A Moore MD NPI is 1003816372, taxonomy code is 207R00000X and license number is 22757, license state is located at Kentucky. Charles A Moore MD physically located at 123 N 19th St, Middlesboro KY, 40965-2865. NPI Number Charles A Moore MD has the Individual type.

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1003816372 NPI number is provided on an as is basis without warranty of any kind. 1003816372 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A Moore MD are for informational purposes only.