Individual
MR. CHARLES HENRY MOSELEY III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, CSCS
Contact information
Practice address
4030 WAKE FOREST RD 211, RALEIGH, NC 27609-6800
(919) 872-2828
(919) 872-8138
Mailing address
4030 WAKE FOREST RD 211, RALEIGH, NC 27609-6800
(919) 872-2828
(919) 872-8138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7866
BLUE CROSS
NC
Enumeration date
05/13/2006
Last updated
10/30/2015
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