Individual
MR. ALI SABOORTINAT MOFRAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 DOCTORS PARK, LINCOLNTON, NC 28092-4407
(704) 735-1441
Mailing address
PO BOX 1051, LINCOLNTON, NC 28093-1051
(704) 732-0330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959952
—
NC
Enumeration date
03/27/2006
Last updated
07/08/2007
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