John Thomas Moore, PA-C
NPI #1508850983 in La Grange, North Carolina
Provider Information
- NPI Number
- 1508850983
- Entity Type
- Individual
- Name
- John Thomas Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Feb 17, 2010
Practice Location
- Address
- 2154 SUTTON HOOTEN LN
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-8252
- Phone
- (252) 566-3298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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