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Organization

DPMMOFFETTNRNC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLIN MOFFETT DPM (OWNER)
(704) 438-1821
Entity
Organization

Contact information

Practice address
1000 COLLEGE ST, WILKESBORO, NC 28697-2732
(704) 438-1821
Mailing address
2017 SPRUCEWOOD ST, ALBEMARLE, NC 28001-8117
(704) 438-1821

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
139
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8908125
NC
Enumeration date
05/24/2006
Last updated
08/22/2020
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