Carl Moore
Interventional Cardiology
2410 Atherholt Rd
Lynchburg
, Virginia 24501-2148
Carl Moore
Interventional Cardiology
2410 Atherholt Rd
Lynchburg
, Virginia 24501-2148
(434) 200-2862
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Carl Moore
- 2410 Atherholt Rd
- Lynchburg, VA
- Zip : 24501-2148
- Fax : (434) 200-2862
- Phone : (434) 200-5252
Second Address
- Carl Moore
- 2410 Atherholt Rd
- Lynchburg, VA
- Zip : 24501-2148
- Fax : (434) 200-2862
- Phone : (434) 200-5252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 0101039425 | VA |
National Provider Identifier
| NPI | 1083698468 |
|---|---|
| Provider Name | Carl Moore |
| First Address | Lynchburg, VA 24501-2148 |
| Second Address | Lynchburg, VA 24501-2148 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 01/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010312973 | (05) | VA |
| C47035 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.