Organization Name: | MOORE FREE CARE CLINIC, INC. |
NPI Number: | 1093062598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY PRICE (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 211 Trimble Plant Rd Ste C Southern Pines |
State: | NC US |
Postal Code: | 283873444 |
Phone Number: | 9102465333 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2012 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |