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Dr. Colin Lee Moffett, DPM
Primary Podiatric Medicine Podiatrist in Gastonia, North Carolina
NPI 1568411007

Colin Lee Moffett is a Primary Podiatric Medicine Podiatrist based in Gastonia, NC and is specialized in Primary Podiatric Medicine. Colin Lee Moffett practices in Gastonia, NC and has the professional credentials of DPM. The NPI Number for Colin Lee Moffett is 1568411007 and holds a License No. 139 (North Carolina).

The current practice location address for Colin Lee Moffett is 111 E 3Rd Ave, Gastonia, NC and can be reached out via phone at 704-874-3300.

Location: 111 E 3Rd Ave, Gastonia, NC, 28052-4358
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Provider Profile Details
NPI Number
1568411007
Provider Name
Colin Lee Moffett
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
111 E 3Rd Ave, Gastonia, NC, 28052-4358
Phone Number
704-874-3300
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56-1384996 01 NC TAX ID
8908125 05 NC
08125 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
111 E 3Rd Ave
City
State
Zip
28052-4317
Phone Number
704-874-3300
Fax Number
person
Provider Business Mailing Address Details
Address
111 E 3Rd Ave
City
State
Zip
28052-4317
Phone Number
704-874-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
139 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
139 (North Carolina)
Definition
Definition to come...
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