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Jonathan Randall Moss, MD
Otolaryngology Physician in Matthews, North Carolina
NPI 1447307244

Jonathan Randall Moss is a Otolaryngology Physician based in Charlotte, NC. Jonathan Randall Moss practices in Matthews, NC and has the professional credentials of MD. The NPI Number for Jonathan Randall Moss is 1447307244 and holds a License No. (North Carolina).

The current practice location address for Jonathan Randall Moss is 724 Aubrey Bell Dr, Matthews, NC and can be reached out via phone at 704-295-3550 and via fax at 704-295-3556.

Location: 724 Aubrey Bell Dr, Matthews, NC, 28210-3256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447307244
Provider Name
Jonathan Randall Moss
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
724 Aubrey Bell Dr, Matthews, NC, 28210-3256
Phone Number
704-295-3550
Fax Number
704-295-3556
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15857 01 NC BCBSNC
4678040 01 NC CIGNA HEALTHCARE
30083055 01 SC SELECT HEALTH OF SC
5914807 05 NC
9733523 01 NC AETNA
000000306335 01 SC UNISON HEALTH PLAN OF SC
P00866360 01 NC RAILROAD MEDICARE
NC1193 05 SC
institution
Provider Business Practice Location Address Details
Address
724 Aubrey Bell Dr
City
Matthews
State
North Carolina
Zip
28105-5055
Phone Number
704-295-3550
Fax Number
704-295-3556
person
Provider Business Mailing Address Details
Address
724 Aubrey Bell Dr
City
Matthews
State
North Carolina
Zip
28105-5055
Phone Number
704-295-3550
Fax Number
704-295-3556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
2010-00143 (North Carolina)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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