William David Moore Jr.
Student in an Organized Health Care Education/Training Program in Swannanoa, NC. Individual provider (NPI-1).
NPI number1144738121
StatusActive
Last updated in NPPESJan 12, 2018
Details
- NPI
- 1144738121
- Entity type
- Individual (NPI-1)
- Name
- William David Moore Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2018
- Last updated
- Jan 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
26 Sylvester WaySwannanoa, NC 28778-9315
Phone 828-545-6546
Mailing address
26 Sylvester WaySwannanoa, NC 28778-9315
Phone 828-545-6546
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