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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEDRICK EARL MOULTON, MD

Active

DEDRICK EARL MOULTON, MD is a Pediatric Gastroenterology healthcare provider located in CHARLOTTE, North Carolina. NPI 1730276841 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · CHARLOTTE, NC

Registration Details

NPI Number
1730276841
Provider Type
Individual
Gender
Male
NPI Issued
Oct 9, 2006 (19.855683320627 yrs)
Last Updated
Nov 18, 2022
Licenses
2021-03243 (NC)
2021-03243 (NC)

Practice Information

Address
1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC, 282035866
Browse NC providers · Browse ZIP 28203
Phone
7043818840
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Additional Specialty
Pediatric Gastroenterology

Other Pediatric Gastroenterology Providers in CHARLOTTE, NC

Name Credential NPI
RICARDO ANDRES CAICEDO MD 1538193149
WILLIAM STOKES HOUCK III M.D. 1063430460
JAMES WILLIAM SANDBERG M.D. 1083632301
VICTOR M PINEIRO-CARRERO MD 1063521821
VANI V. GOPALAREDDY MD 1568552206
TIFFANY M LINVILLE MD 1205910734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.