IndividualActive
Charles Moore, MD
NPI 1003816372 · Internal Medicine Physician · Middlesboro, KY
Provider details
- NPI number
- 1003816372
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22757 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
123 N 19th St
Suite 201
Middlesboro, KY 40965-2865
Phone: (606) 248-0090
Fax: (606) 248-8803
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 309
Middlesboro, KY 40965-0309
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2010-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.