Individual
JOHN SIMPSON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6460
(252) 537-5639
(252) 537-7198
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200700158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010091209
—
VA
05
—
5910110
—
NC
Enumeration date
11/16/2006
Last updated
08/31/2015
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