Moore, Carol E
Moore, Carol E is an sole proprietor health care provider with primary practice located at 2828 Maplewood Ave Suite B, Winston Salem NC 27103-4138. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moore, Carol E can be contacted via phone (336) 794-1444.Contact Information
Primary practice address
2828 Maplewood Ave Suite B
Winston Salem NC 27103-4138
Phone: (336) 794-1444
Fax: (336) 794-1477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19065 | South Carolina |
Profile Details
| NPI number | 1326025156 |
|---|---|
| LBN Legal business name | Moore, Carol E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Mar 23rd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326025156 | NPPES |
| South Carolina | MEDICAID | GP1766 |
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