Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MOORE BYNUM
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · ROCKY MOUNT, NC
Registration Details
- NPI Number
- 1265619274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2008 (18.246477199236 yrs)
- Last Updated
- Jan 22, 2008
- License
-
MHL-033-054 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 ARLINGTON STROCKY MOUNT, NC, 278015657Browse NC providers · Browse ZIP 27801
- Phone
- 2524462082
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.