Dr. Simon C Moten
Vascular Surgeon
600 Moye Blvd Life Science Building-Cardiothoracic Outpatient Clin.
Greenville
, North Carolina 27834-4300
Dr. Simon C Moten
Vascular Surgeon
600 Moye Blvd Life Science Building-Cardiothoracic Outpatient Clin.
Greenville
, North Carolina 27834-4300
(252) 744-3194
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Simon C Moten
- Po Box 751069
- Charlotte, NC
- Zip : 28275-1069
- Fax : (252) 744-3194
- Phone : (252) 744-3253
Second Address
- Dr. Simon C Moten
- 600 Moye Blvd Life Science Building-Cardiothoracic Outpatient Clin.
- Greenville, NC
- Zip : 27834-4300
- Fax : (252) 744-5192
- Phone : (252) 744-4822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | NC |
National Provider Identifier
| NPI | 1134113327 |
|---|---|
| Provider Name | Dr. Simon C Moten |
| First Address | Charlotte, NC 28275-1069 |
| Second Address | Greenville, NC 27834-4300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 04/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 139CY | BCBS NC (01) | NC |
| 5900771 | (05) | NC |
| I28392 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.