Individual
REZA MICHAEL MOZAYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3025 SPRINGBANK LANE, STE 200, CHARLOTTE, NC 28226-3362
(704) 540-9595
(704) 540-9616
Mailing address
3025 SPRINGBANK LANE, STE 200, CHARLOTTE, NC 28226-3362
(704) 540-9595
(704) 540-9616
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2000-00102
NC
207W00000X
Ophthalmology Physician
Primary
200000102
NC
Other
Enumeration date
07/04/2006
Last updated
12/20/2010
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