Charles a Moore
Charles a Moore is a Family Medicine Physician in Middlesboro, Kentucky. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
123 N 19th St Ste 201Middlesboro, KY 40965-2865
Phone: (606) 248-7630
Fax: (606) 248-8803
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1659551935 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Moore — Owner · (606) 248-0090 |
| NPI enumerated | November 5, 2007 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 21, 2025 |
| Mailing address | Po Box 309, Middlesboro, KY 40965-0309 |
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