Moore, Carol E

Moore, Carol E is an sole proprietor health care provider with primary practice located at 2828 Maplewood Ave Suite B, Winston Salem NC 27103-4138. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moore, Carol E can be contacted via phone (336) 794-1444.

Contact Information

Primary practice address

2828 Maplewood Ave Suite B Winston Salem NC 27103-4138

Phone: (336) 794-1444

Fax: (336) 794-1477

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Other Service Providers / Specialist	174400000X	19065	South Carolina

Profile Details

NPI number	1326025156
LBN Legal business name	Moore, Carol E
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Dec 22nd, 2005
Last updated	Mar 23rd, 2016 - about 10 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

State	Type	Number	Issuer
All States	NPI	1326025156	NPPES
South Carolina	MEDICAID	GP1766

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