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Contact Information

MICAH R MOORE, DO
400 N JEFFERSON ST
LEWISBURG, WV24901
 Phone: 304-645-3220
 Fax: 304-647-1273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MICAH R MOORE · (Male)

NPI # 1346770872
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/18/2017
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 3323
Hospital affiliation(s)
  • PIEDMONT MEDICAL CENTER - (Acute Care)
    222 S HERLONG AVE
    ROCK HILL, SC 29730
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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