Moore, James D

Moore, James D is an individual health care provider with primary practice located at 227 W Main St , Abingdon VA 24210-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, James D can be contacted via phone (276) 628-6011.

Contact Information

Primary practice address
227 W Main St Abingdon VA 24210-2715
Fax: (276) 628-3923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101025906 Virginia

Profile Details

NPI number 1508848375
LBN Legal business name Moore, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 18th, 2014 - about 12 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 1508848375 NPPES
Other 002074 ANTHEM
Other CK3042 ANTHEM
Other TN0101 ANTHEM
MEDICAID 1508848375 ANTHEM
MEDICAID 006260802 ANTHEM
Other C08321 ANTHEM

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