Provider Demographics
NPI:1093062598
Name:MOORE FREE CARE CLINIC, INC.
Entity Type:Organization
Organization Name:MOORE FREE CARE CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-246-5333
Mailing Address - Street 1:211 TRIMBLE PLANT RD
Mailing Address - Street 2:STE C
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-3444
Mailing Address - Country:US
Mailing Address - Phone:910-246-5333
Mailing Address - Fax:
Practice Address - Street 1:211 TRIMBLE PLANT RD
Practice Address - Street 2:STE C
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-3444
Practice Address - Country:US
Practice Address - Phone:910-246-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty