| Shauna Kay Moore | |
|
207 W Front St Lillington NC 27546-5821 | |
| (910) 814-8009 | |
| Not Available |
| Full Name | Shauna Kay Moore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 207 W Front St, Lillington, North Carolina |
| Authorized Official Name and Position | Shauna Kay Moore (OWNER, MEMBER) |
| Authorized Official Contact | 3179028471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shauna Kay Moore 3205 Us 421 N Lillington NC 27546-7428 Ph: (317) 902-8471 | Shauna Kay Moore 207 W Front St Lillington NC 27546-5821 Ph: (910) 814-8009 |
| NPI Number | 1700937190 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 10/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700937190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1645 (North Carolina) | Primary |
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