DR. GEORGE HORACE MOORE, M.D. - NPI NUMBER 1942344494

Summary

Provider Name: DR. GEORGE HORACE MOORE, M.D.

NPI Number: 1942344494

Clasification: Family Medicine (207Q00000X)

Organization: UNC PHYSICIANS NETWORK, LLC

Address:
2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562

Phone Number: (252) 638-4023



Detailed Information

DR. George Horace Moore, M.D. is a family physician in New Bern, NC with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1942344494 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1981

The provider's business address is:

2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562-238
Phone: (252) 638-4023
Fax: (252) 633-2833

The enumeration date for this NPI number is 2/17/2007 and was last updated on 5/16/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine 26325 NC Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 8960521 MEDICAID NC
2 202911D MEDICARE PIN NC
3 202911E MEDICARE PIN NC

NPI Record

No. Field Name Field Value
1 NPI 1942344494
2 Entity Type Code 1
3 Provider Last Name Legal Name MOORE
4 Provider First Name GEORGE
5 Provider Middle Name HORACE
6 Provider Name Prefix Text DR.
7 Provider Name Suffix Text JR.
8 Provider Credential Text M.D.
9 Provider First Line Business Practice Location Address 2604 DR MARTIN LUTHER KING JR BLVD
10 Provider Business Practice Location Address City Name NEW BERN
11 Provider Business Practice Location Address State Name NC
12 Provider Business Practice Location Address Postal Code 285624238
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 2526384023
15 Provider Business Practice Location Address Fax Number 2526332833
16 Provider Enumeration Date 2/17/2007
17 Last Update Date 5/16/2014
18 Provider Gender Code M
19 Healthcare Provider Taxonomy Code 1 207Q00000X
20 Provider License Number 1 26325
21 Provider License Number State Code 1 NC
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 8960521
24 Other Provider Identifier Type Code 1 05
25 Other Provider Identifier State 1 NC
26 Other Provider Identifier 2 202911D
27 Other Provider Identifier Type Code 2 08
28 Other Provider Identifier State 2 NC
29 Other Provider Identifier 3 202911E
30 Other Provider Identifier Type Code 3 08
31 Other Provider Identifier State 3 NC
32 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.