Individual provider · Type 1 NPI

Luke Moore

Physician Assistant · Winston Salem, NC

NPI number 1356129258 Active

Practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

104 Kee Ct
Waxhaw, NC 28173-9314

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356129258

Luke Moore's National Provider Identifier is 1356129258, issued on Sep 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on May 19, 2026.