# MOOSE HAND CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518222132
- **Authorized official:** DR. DURMAN WILLIAM MOOSE JR. M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (704) 372-0527

## Contact information

- **Practice address:** 10502 PARK RD, SUITE 170, CHARLOTTE, NC 28210-8479
- **Practice address phone:** (704) 372-0527
- **Practice address fax:** (704) 372-7564
- **Mailing address:** 10502 PARK RD, SUITE 170, CHARLOTTE, NC 28210-8479
- **Mailing address phone:** (704) 372-0527
- **Mailing address fax:** (704) 372-7564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 32543 | NC | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012