Mark Benton Moore in Charlotte - Pediatrics
Mark Benton Moore - NPI 1205948981
Mark Benton Moore is a Pediatrics in Charlotte, North Carolina. Mark Benton Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Benton Moore is 1205948981. The last update date is 2021-12-06.
Mark Benton Moore's current location address is Po Box 601372, Charlotte, North Carolina. You can contact this provider via phone number 7043554772 and fax number 7043556227. The mailing address for Mark Benton Moore is Po Box 601372, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Benton Moore |
|---|---|
| Address | Po Box 601372, Charlotte, North Carolina |
| Phone Number | 7043554772 |
| Fax Number | 7043556227 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1205948981 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | Po Box 601372 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282601372 |
| Phone Number | 7043554772 |
| Fax Number | 7043556227 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 9700154 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP1153 | SC | -- | |
| 7005122 | NC | -- |
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What is the unique identifier code issued to Mark Benton Moore by the Centers for Medicare & Medicaid Services?
The Mark Benton Moore has been assigned the NPI (National Provider Identifier) 1205948981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Benton Moore located?
The Mark Benton Moore is located at Po Box 601372, Charlotte, NC 282601372.
What is the Mark Benton Moore's specialty and taxonomy code?
The Mark Benton Moore's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
When did Mark Benton Moore receive its 1205948981 assignment?
The Mark Benton Moore was assigned its 1205948981 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Mark Benton Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Benton Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-06.