CHARLES KEITH MOON

DANVILLE, VA
NPI1285418848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024187950)
Enumeration Date2023-08-23
Last Update Date2023-08-23
Business Address
Mr. CHARLES KEITH MOON FNP
2344 RIVERSIDE DR
DANVILLE, VA 24540-4212
Phone number: 434-791-3800
Mailing Address
Mr. CHARLES KEITH MOON FNP
1111 S JEFFERSON ST
ROANOKE, VA 24016-4724
Phone number: 540-769-3964