MEDICARE: DR. RUBYE DEE WASHINGTON-MOORE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	28483	AL
2	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	0101053243	VA
3	207V00000X	Obstetrics & Gynecology Physician	0101053243	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114948270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBYE DEE WASHINGTON-MOORE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 786
Second Line	:
City	:	NORTON
State	:	VA
Zip	:	24273-0786
Country	:	US
Telephone Number	:	804-229-4216
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 15TH ST NW
Second Line	:	SUITE 301
City	:	NORTON
State	:	VA
Zip	:	24273-1627
Country	:	US
Telephone Number	:	276-439-1470
Fax Number	:	276-439-1471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	01/19/2023

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Directions to “ DR. RUBYE DEE WASHINGTON-MOORE M.D.” Practice Location

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