Individual
DR. BENJAMIN JAMES MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2839
(704) 355-2272
(704) 355-1865
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3264
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2011-00515
NC
2085R0001X
Radiation Oncology Physician
33384
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917263
—
NC
05
—
NC1343
—
SC
Enumeration date
03/02/2011
Last updated
12/19/2012
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