Organization · Type 2 NPI

Charles A Moore

Clinic/Center · Middlesboro, KY

NPI number 1659551935 Active

Practice location

123 N 19th St, Suite 201
Middlesboro, KY 40965-2865

Fax (606) 248-8803

Mailing address

PO Box 309
Middlesboro, KY 40965-0309

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10 other providers at this address

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About NPI 1659551935

Charles A Moore's National Provider Identifier is 1659551935, issued on Nov 5, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Middlesboro, KY. The record was last updated on Jan 21, 2025.