Provider Demographics
NPI:1225261233
Name:MOORE, SARAH JEAN GALLE (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JEAN GALLE
Last Name:MOORE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5007 EDDYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-6312
Mailing Address - Country:US
Mailing Address - Phone:843-754-7301
Mailing Address - Fax:
Practice Address - Street 1:14015 E INDEPENDENCE BLVD STE D
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-9668
Practice Address - Country:US
Practice Address - Phone:704-882-1488
Practice Address - Fax:704-882-1448
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3403111N00000X
NC4902111N00000X
IL038.011494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor