Moore, Edgar Charles

Moore, Edgar Charles is an individual health care provider with primary practice located at 701 Doctors Dr Suite A, Kinston NC 28501-1589. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Moore, Edgar Charles can be contacted via phone (252) 775-5999.

Contact Information

Primary practice address
701 Doctors Dr Suite A Kinston NC 28501-1589
Phone: (252) 775-5999
Fax: (252) 208-1647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X OS014259 Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS014259 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 2013-00327 North Carolina

Profile Details

NPI number 1497074041
LBN Legal business name Moore, Edgar Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated May 11th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497074041 NPPES
North Carolina Other 179J0 BCBS NC
North Carolina MEDICAID 1497074041 BCBS NC

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