Healthcare Provider Details

I. General information

NPI: 1982674966
Provider Name (Legal Business Name): FRANKLIN JAMES MOORING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 SOUTH RIDGECREST
RUTHERFORDTON NC
28139
US

IV. Provider business mailing address

PO BOX 886 131 W 2ND ST
RUTHERFORDTON NC
28139
US

V. Phone/Fax

Practice location:
  • Phone: 828-286-5246
  • Fax: 828-286-5231
Mailing address:
  • Phone: 828-287-2984
  • Fax: 828-287-3582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number31180
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: