Provider Demographics
NPI:1144286592
Name:MOORE, SLADE CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:SLADE
Middle Name:CURTIS
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6431 OLD PLANK RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3274
Practice Address - Country:US
Practice Address - Phone:336-875-6540
Practice Address - Fax:336-875-6541
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222468207X00000X
NC2008-00711207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00762132OtherRAILROAD MEDICARE
NC5909530Medicaid
NC2022346Medicare PIN