Becky Moore
NPI #1013370527 in Raleigh, North Carolina
Provider Information
- NPI Number
- 1013370527
- Entity Type
- Individual
- Name
- Becky Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 3100 BLUE RIDGE RD
- Address 2
- #103
- City
- Raleigh
- State
- North Carolina
- ZIP Code
- 27612-8036
- Phone
- (919) 719-2250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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