Moten, Simon C

Moten, Simon C is an individual health care provider with primary practice located at 600 Moye Blvd Life Science Building-Cardiothoracic Outpatient Clin., Greenville NC 27834-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moten, Simon C can be contacted via phone (252) 744-4822.

Contact Information

Primary practice address
600 Moye Blvd Life Science Building-Cardiothoracic Outpatient Clin. Greenville NC 27834-4300
Phone: (252) 744-4822
Fax: (252) 744-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X North Carolina

Profile Details

NPI number 1134113327
LBN Legal business name Moten, Simon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134113327 NPPES
North Carolina Other 139CY BCBS NC
North Carolina MEDICAID 5900771 BCBS NC

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