Individual
DR. DAVID SCOTT MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10320 MALLARD CREEK RD, STE 271, CHARLOTTE, NC 28262-9756
(704) 503-6321
(704) 503-7957
Mailing address
10320 MALLARD CREEK RD, STE 271, CHARLOTTE, NC 28262-9756
(704) 503-6321
(704) 503-7957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28282
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28282
STATE LIC
NC
01
—
58 2489860
TAX ID
NC
01
—
61168
BLUE CROSS & BLUE SHIELD
NC
Enumeration date
10/19/2006
Last updated
06/09/2010
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