IndividualActive
Beverly Moose, MD
NPI 1487747648 · Radiation Oncology Physician · Winston Salem, NC
Provider details
- NPI number
- 1487747648
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 96-00124 (NC)
Practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone: (336) 718-5095
Fax: (336) 718-9895
Mailing address
Po Box 30337
Winston Salem, NC 27130-0337
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2012-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.