Dr. Ryan Thomas Moore
Pediatrician Neonatal-Perinatal Doctor
2100 Stantonsburg Rd
Greenville
, North Carolina 27834-2818
Dr. Ryan Thomas Moore
Pediatrician Neonatal-Perinatal Doctor
2100 Stantonsburg Rd
Greenville
, North Carolina 27834-2818
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Ryan Thomas Moore
- Po Box 751069
- Charlotte, NC
- Zip : 28275-1069
- Phone :
Second Address
- Dr. Ryan Thomas Moore
- 2100 Stantonsburg Rd
- Greenville, NC
- Zip : 27834-2818
- Fax : (252) 847-9943
- Phone : (252) 847-4378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 0101237078 | VA |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 0101237078 | VA |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 2014-01603 | NC |
National Provider Identifier
| NPI | 1063493880 |
|---|---|
| Provider Name | Dr. Ryan Thomas Moore |
| First Address | Charlotte, NC 28275-1069 |
| Second Address | Greenville, NC 27834-2818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 11/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1063493880 | (05) | NC |
| 19CN7 | BCBS NC (01) | NC |
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.