Organization
UWHARRIE PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN LEE MOFFETT DPM (OWNER/DOCTOR)
(704) 983-5763
Entity
Organization
Contact information
Practice address
143 N 3RD ST, ALBEMARLE, NC 28001-4901
(704) 983-5763
(704) 983-5642
Mailing address
143 N 3RD ST, ALBEMARLE, NC 28001-4901
(704) 983-5763
(704) 983-5642
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08125
BCBS
NC
01
—
243063C
PTAN
NC
05
—
8908125
—
NC
Enumeration date
03/20/2008
Last updated
06/21/2018
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