| NPI | 1003569849 |
|---|---|
| Former Legal Business Name | W.SCOTT MOORE ET AL PTR |
| Entity Type | Organization |
| Authorized Contact | BETSY ROBBINS PARRISH Office Manager 336-245-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |