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Contact Information

BUFFY R MOORE
125 RED MULBERRY WAY APT 4
CHARLESTON, WV25306-6385
 Phone: 304-206-5791
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for BUFFY R MOORE · (Female)

NPI # 1518827567
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2025
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 69558
Hospital affiliation(s) Not Available
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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