William David Moore Jr.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Swannanoa, NC
NPI 1144738121 · NPPES record last updated Jan 12, 2018
Key facts
- NPI
- 1144738121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 26 Sylvester Way
Swannanoa, NC 28778-9315 - Phone
- (828) 545-6546
- NPI assigned
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
26 Sylvester Way
Swannanoa, NC 28778-9315
Mailing address
26 Sylvester Way
Swannanoa, NC 28778-9315
Phone (828) 545-6546
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- Adrianne S Melton
- Thomas Jay Mock
- Jeanne M Nagel
- Kara R Nash
- National Mentor Healthcare LLC
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- Brittany Nicole Neumann
All providers in Swannanoa, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.