Individual provider · Type 1 NPI

Glenndale Moore, MD

Cardiovascular Disease Physician · Raleigh, NC

NPI number 1164485033 Active

Practice location

2949 New Bern Ave, Suite 112-A
Raleigh, NC 27610-1248

Call (919) 231-3614 Map

Fax (919) 212-9029

Mailing address

PO Box 28510
Raleigh, NC 27611-8510

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X24609 (NC)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1164485033

Glenndale Moore, MD's National Provider Identifier is 1164485033, issued on Apr 10, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 13, 2026.