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Dr. Jefferson Eaddy Carter Moulds, MD
Radiation Oncology Physician in Onancock, Virginia
NPI 1265420582

Jefferson Eaddy Carter Moulds is a Radiation Oncology Physician based in Onancock, VA and is specialized in Radiation Oncology. Jefferson Eaddy Carter Moulds practices in Onancock, VA and has the professional credentials of MD. The NPI Number for Jefferson Eaddy Carter Moulds is 1265420582 and holds a License No. D50244 (Virginia).

The current practice location address for Jefferson Eaddy Carter Moulds is 20480 Market Street, Onancock, VA and can be reached out via phone at 757-302-2600 and via fax at 757-789-0631.

Location: 20480 Market Street, Onancock, VA, 23417-0430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265420582
Provider Name
Jefferson Eaddy Carter Moulds
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20480 Market Street, Onancock, VA, 23417-0430
Phone Number
757-302-2600
Fax Number
757-789-0631
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265420582 05 VA
2176156 01 VA MAMSI/UNITED HEALTHCARE
342750 01 VA ANTHEM BCBS
9558847 01 VA CIGNA
institution
Provider Business Practice Location Address Details
Address
20480 Market Street
City
Onancock
State
Virginia
Zip
23417-0430
Phone Number
757-302-2600
Fax Number
757-789-0631
person
Provider Business Mailing Address Details
Address
20480 Market Street
City
Onancock
State
Virginia
Zip
23417-0430
Phone Number
757-302-2600
Fax Number
757-789-0631
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
D50244 (Maryland)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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