| Doctor Name: | ALICE MCCARTY MOORE |
| NPI Number: | 1699100263 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-BC |
| License Number: | 26NJ00436000 |
| Business Practice Address: | 601 Pemberton Browns Mills Rd Bcc- Health Center Pemberton, NJ - 080681536 |
| Business Phone Number: | 6098949311 |
| Business Fax Number: | |
| Mailing Address: | 19 W Summit Ave, HADDONFIELD |
| State: | NJ |
| Postal Code: | 080333315 |
| Phone Number: | 6092201827 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2013 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00436000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |