Individual
DR. MUIN MOUSA DUGOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACP
Contact information
Practice address
2400 WAYNE MEMORIAL DR STE J, GOLDSBORO MEDICAL CENTER, GOLDSBORO, NC 27534-1749
(919) 739-9599
(919) 739-5535
Mailing address
2400 WAYNE MEMORIAL DR STE J, GOLDSBORO MEDICAL CENTER, GOLDSBORO, NC 27534-1749
(919) 739-9599
(919) 739-5535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600902
NC
208D00000X
General Practice Physician
9600902
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147TC
BLUE CROSS
NC
01
—
29352
BLUE CROSS
NC
05
—
8929352
—
NC
Enumeration date
01/18/2006
Last updated
01/06/2016
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