Individual
DR. JEFFERSON EADDY CARTER MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20480 MARKET STREET, ONANCOCK, VA 23417-0430
(757) 302-2600
(757) 789-0631
Mailing address
PO BOX 430, ONANCOCK, VA 23417-0430
(757) 302-2600
(757) 789-0631
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101052934
VA
2085R0001X
Radiation Oncology Physician
21925
DC
2085R0001X
Radiation Oncology Physician
D50244
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265420582
—
VA
01
—
2176156
MAMSI/UNITED HEALTHCARE
VA
01
—
342750
ANTHEM BCBS
VA
01
—
9558847
CIGNA
VA
Enumeration date
10/11/2005
Last updated
07/21/2022
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