Mark Benton Moore is a Charlotte, North Carolina based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mark Benton Moore is 9700154 for Pediatrics in North Carolina. His current practice location is 1000 Blythe Blvd, Charlotte. Patients can reach him at 704-355-4772 or can fax him at 704-355-6227. Mark Benton Moore is ARNP with specialization in Pediatrics and his NPI number (Unique professional ID assigned by NPPES) is 1205948981. Mark Benton Moore specializes in caring for newborns, infants, toddlers, adolescents and young adults. He perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mark Benton Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mark Benton Moore
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Male
Credentials:
ARNP
Practice Address:
1000 Blythe Blvd, Charlotte, North Carolina, 28203-5812
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1205948981
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
06 Dec, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Benton Moore are as mentioned below.
License Number
Specialization
State
Status
9700154
Pediatrics
North Carolina
Primary
18527
Nurse Practitioner
Tennessee
Secondary
ARNP 9219935
Pediatrics
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Benton Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP1153
Medicaid
South Carolina
7005122
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark Benton Moore Po Box 601372, Charlotte, North Carolina
Zip:
28260-1372
Phone Number:
704-355-4772
Fax Number:
704-355-6227
Patients can reach Mark Benton Moore at 1000 Blythe Blvd, Charlotte, North Carolina or can call to book an appointment on 704-355-4772.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.