Ryan Thomas Moore in Greenville - Pediatrics

Ryan Thomas Moore - NPI 1063493880

Ryan Thomas Moore is a Pediatrics in Greenville, North Carolina. Ryan Thomas Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ryan Thomas Moore is 1063493880. The last update date is 2020-12-11.

Ryan Thomas Moore's current location address is 2100 Stantonsburg Rd, Greenville, North Carolina. You can contact this provider via phone number 2528474378 and fax number 2528479943. The mailing address for Ryan Thomas Moore is 2100 Stantonsburg Rd, Greenville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ryan Thomas Moore
Address 2100 Stantonsburg Rd, Greenville, North Carolina
Phone Number 2528474378
Fax Number 2528479943
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063493880
Provider Enumeration Date 2005-11-09
Last Updated Date 2020-12-11

Provider Mailing Address Detail

Address 2100 Stantonsburg Rd
City Greenville
State North Carolina (NC)
Post Code 278342818
Phone Number 2528474378
Fax Number 2528479943

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 101237078
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19CN7 NC BCBS NC
1063493880 NC --

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FAQs about Ryan Thomas Moore

What is the unique 10-digit identifier code assigned to Ryan Thomas Moore by the Centers for Medicare & Medicaid Services?

The Ryan Thomas Moore has been issued the NPI (National Provider Identifier) 1063493880 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Ryan Thomas Moore?

The Ryan Thomas Moore is physically situated at 2100 Stantonsburg Rd, in the city of Greenville, state of NC, with the postal code 278342818.

What is Ryan Thomas Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ryan Thomas Moore's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063493880 to Ryan Thomas Moore?

The Ryan Thomas Moore received its 1063493880 assignment from the Centers for Medicare & Medicaid Services on 2005-11-09.

As of what date were the Ryan Thomas Moore's details last updated?

The information pertaining to the Ryan Thomas Moore, including its address, specialty, and other details, was most recently updated on 2020-12-11.

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