Individual
GARLAND RADFORD MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 WEBB BLVD, HAVELOCK, NC 28532-2042
(252) 447-7088
(252) 447-2752
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 447-7088
(252) 447-2752
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
24793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208938F
MEDICARE PTAN
NC
01
—
59920
BLUE CROSS
—
05
—
8959920
—
NC
Enumeration date
08/31/2005
Last updated
03/17/2017
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