Individual
MATTHEW PATRICK MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-5000
Mailing address
168 HARDEE BRANCH RD, WEST END, NC 27376-8920
(910) 255-0744
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MM0127604
NC
Other
Enumeration date
05/16/2007
Last updated
09/25/2008
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