CHARLES A MOORE

MIDDLESBORO, KY
NPI1659551935
Entity TypeOrganization
Authorized ContactCHARLES A MOORE
Owner
606-248-7630
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2007-11-05
Last Update Date2007-11-05
Business Address
CHARLES A MOORE
123 N 19TH ST SUITE 201
MIDDLESBORO, KY 40965-2865
Phone number: 606-248-7630
Mailing Address
CHARLES A MOORE
PO BOX 309
MIDDLESBORO, KY 40965-0309
Phone number: 606-248-7630
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