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Individual

CHRISTOPHER SEAN MOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008815
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306200282
PA
Enumeration date
04/07/2016
Last updated
07/21/2022
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