Organization
LENOIR-RHYNE UNIVERSITY
Active
Other names
Lenoir-Rhyne University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
625 7TH AVE NE, HICKORY, NC 28601-3984
(828) 328-1741
Mailing address
5050 SPRING VALLEY RD., DALLAS, TX 75244-3909
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9901552
NC
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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