Moore, Mercy Rossana Bayot

Moore, Mercy Rossana Bayot is an individual health care provider with primary practice located at 1918 Randolph Rd Ste 220 Suite 220, Charlotte NC 28207-1109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Moore, Mercy Rossana Bayot can be contacted via phone (704) 316-1125.

Contact Information

Primary practice address
1918 Randolph Rd Ste 220 Suite 220 Charlotte NC 28207-1109
Phone: (704) 316-1125
Fax: (704) 316-1143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2013-02457 North Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X J9965 Texas

Profile Details

NPI number 1114927399
LBN Legal business name Moore, Mercy Rossana Bayot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 25th, 2020 - about 4 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 1114927399 NPPES
Texas MEDICAID 119250204

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