Individual
DR. NAOMI SOROOSH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 MEDICAL PARK RD, SUITE 201, MOORESVILLE, NC 28117-8578
(704) 235-1827
(704) 235-1823
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 235-1827
(704) 235-1823
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2008-00134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914416
—
NC
Enumeration date
03/28/2007
Last updated
07/09/2015
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