Most Relevant Information
Provider Data
| NPI Number: | 1003816372 |
| Provider Name: | CHARLES A MOORE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 22757 |
Most Important Dates
| Enumeration Date: | 07/28/2005 |
| Last Updated: | 04/27/2010 |
Provider Practice Location
123 N 19TH ST
SUITE 201
MIDDLESBORO
KY
409652865
Practice Location Phone/Fax
| Phone: | 6062480090 |
| Fax: | 6062488803 |
Provider Mailing Location
PO BOX 309
MIDDLESBORO
KY
409650309
Provider Mailing Phone/Fax
| Phone: | 6062480090 |
| Fax: | 6062488803 |
Suggested EMR
Internist EMR