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Individual
MICHAEL PAUL MOULTON
Active
Individual
MICHAEL PAUL MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9400946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28836
UNITED HEALTHCARE
NC
01
—
61180
BCBS
NC
05
—
8961180
—
NC
01
—
930077048
RAILROAD MEDICARE
NC
01
—
930084660
RAILROAD MEDICARE
NC
01
—
B4550
MEDCOST
NC
05
—
Q00946
—
SC
Enumeration date
06/15/2005
Last updated
11/24/2009
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