Margaret Susan Moore, MD

Individual provider Active NPI Neurology Physician · Madison Heights, VA

NPI 1407866106 · NPPES record last updated May 11, 2012

Key facts

NPI
1407866106
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
0101037785 (VA)
Practice address
521 Colony Rd
Madison Heights, VA 24572-2105
Phone
(434) 947-6320
Fax
(434) 947-2906
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101037785VAMDNeurology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101037785 VA Yes

Addresses

Primary practice location

521 Colony Rd
Madison Heights, VA 24572-2105

Mailing address

PO Box 1098
Lynchburg, VA 24505-1098
Phone (434) 947-6320

Other providers in Madison Heights, VA

All providers in Madison Heights, VA · Neurology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.