Moore, Delores C

Moore, Delores C is an individual health care provider with primary practice located at 222 Ashville Ave , Cary NC 27518-6130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Moore, Delores C can be contacted via phone (919) 859-1136.

Contact Information

Primary practice address
222 Ashville Ave Cary NC 27518-6130
Phone: (919) 859-1136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-01458 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2009-01458 North Carolina

Profile Details

NPI number 1942291695
LBN Legal business name Moore, Delores C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 9th, 2021 - about 5 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 1942291695 NPPES
Virginia MEDICAID 010236291
Virginia MEDICAID 1942291695

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