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Jacob Moore, ATC LAT
NPI 1821512179 · on the registry since 2017
Practice
- Address
- 116 Ward Sports Medicine Building
Greenville, NC 27858 - Phone
- (252) 737-2634
- Fax
- (252) 737-1393
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina