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Individual

CY MARSHALL MOZINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(681) 342-3455
Mailing address
DEPARTMENT OF ANESTHESIOLOGY, N2198 UNC HOSPITALS CAMPUS BOX 7010, CHAPEL HILL, NC 27599-7010
(919) 966-5136
(984) 974-4873

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29681
WV
390200000X
Student in an Organized Health Care Education/Training Program
209644
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29681
WV LICENSE
WV
Enumeration date
04/22/2015
Last updated
04/08/2022
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