Moore, Reginald G
Moore, Reginald G is an sole proprietor health care provider with primary practice located at 121 49Th Avenue Pl Nw , Hickory NC 28601-9349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Reginald G can be contacted via phone (828) 381-3636.Contact Information
Primary practice address
121 49Th Avenue Pl Nw
Hickory NC 28601-9349
Phone: (828) 381-3636
Fax: (828) 728-2030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23064 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19853 | Georgia |
Profile Details
| NPI number | 1043272339 |
|---|---|
| LBN Legal business name | Moore, Reginald G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Dec 20th, 2011 - about 13 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 | 1043272339 | NPPES |
| North Carolina | MEDICAID | 891144E |
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