Moore, Reginald G

Moore, Reginald G is an sole proprietor health care provider with primary practice located at 121 49Th Avenue Pl Nw , Hickory NC 28601-9349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Reginald G can be contacted via phone (828) 381-3636.

Contact Information

Primary practice address
121 49Th Avenue Pl Nw Hickory NC 28601-9349
Phone: (828) 381-3636
Fax: (828) 728-2030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23064 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19853 Georgia

Profile Details

NPI number 1043272339
LBN Legal business name Moore, Reginald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Dec 20th, 2011 - about 15 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 1043272339 NPPES
North Carolina MEDICAID 891144E

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