Individual
GEORGE WILLIAM MOZINGO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-7166
(910) 738-4434
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0000-29150
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8961269
—
NC
Enumeration date
09/13/2005
Last updated
03/01/2024
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