| George Moore, Md Pllc | |
|
11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 | |
| (919) 435-6967 | |
| (888) 941-6387 |
| Full Name | George Moore, Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11081 Forest Pines Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | George Horace Moore (OWNER) |
| Authorized Official Contact | 9196070623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Moore, Md Pllc 11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 Ph: (919) 435-6967 | George Moore, Md Pllc 11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 Ph: (919) 435-6967 |
| NPI Number | 1265873277 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265873277 | NPI | - | NPPES |
| 8960521 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26325 (North Carolina) | Primary |
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