Individual
MASSOUD MOTAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
515 W MAIN ST, MOUNT OLIVE, NC 28365-1903
(919) 658-0003
(919) 658-0310
Mailing address
515 W MAIN ST, MOUNT OLIVE, NC 28365-1903
(919) 658-0003
(919) 658-0310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820M
BLUECROSS BLUESHIELD
NC
05
—
890820M
—
NC
Enumeration date
11/06/2006
Last updated
07/08/2007
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