Individual
DR. SIMON C MOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, LIFE SCIENCE BUILDING-CARDIOTHORACIC OUTPATIENT CLIN., GREENVILLE, NC 27834-4300
(252) 744-4822
(252) 744-5192
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139CY
BCBS NC
NC
05
—
5900771
—
NC
Enumeration date
09/02/2005
Last updated
09/04/2007
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