Individual provider · Type 1 NPI

Phillip Schmitz Moore, MD

Vascular Surgery Physician · Winston Salem, NC

NPI number 1215119151 Active

Practice location

2827 Lyndhurst Ave, Suite 203
Winston Salem, NC 27103-4145

Call (336) 794-8624 Map

Fax (336) 231-8845

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X2008-01396 (NC)
Vascular Surgery Physician Primary 2086S0129X2008-01396 (NC)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1215119151

Phillip Schmitz Moore, MD's National Provider Identifier is 1215119151, issued on Dec 3, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 28, 2020.