Most Relevant Information
Provider Data
| NPI Number: | 1003640798 |
| Provider Name: | JOSHUA DEION MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | L006922 |
Most Important Dates
| Enumeration Date: | 08/27/2024 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
2300 RAMSEY ST
FAYETTEVILLE
NC
283013856
Practice Location Phone/Fax
| Phone: | 9104882120 |
| Fax: |
Provider Mailing Location
2300 RAMSEY ST
FAYETTEVILLE
NC
283013856
Provider Mailing Phone/Fax
| Phone: | 9104882120 |
| Fax: |