NPI Index

DEDRICK MOULTON, MD

Pediatrics - Pediatric Gastroenterology

Active Individual
NPI: 1730276841

Practice Address

1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
Charlotte, NC 28203

Phone: (704) 381-8840

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 2021-03243 (NC)
Pediatrics - Pediatric Gastroenterology 2080P0206X Yes 2021-03243 (NC)

Frequently Asked Questions

NPI 1730276841 is the National Provider Identifier for DEDRICK MOULTON, MD, a Pediatrics - Pediatric Gastroenterology provider located in Charlotte, NC. This NPI was enumerated on October 9, 2006.
DEDRICK MOULTON, MD practices at 1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, Charlotte, NC 28203.

Quick Facts

NPI
1730276841
Type
Individual
Enumerated
Oct 9, 2006
Last Updated
Nov 18, 2022

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