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Contact Information

MARK B MOELLER, MD
137 MEDICAL LANE
POLLOCKSVILLE, NC28573
 Phone: 252-633-1010
 Fax: 252-224-3071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK B MOELLER · (Male)

NPI Number 1053304097
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 03/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 25731
  • NC Medicaid 8959922
  • NC Other 59922 BLUE CROSS
  • NC Other 202672E MEDICARE PTAN
Hospital affiliation(s)
  • CAROLINA EAST MEDICAL CENTER - (Acute Care)
    2000 NEUSE BLVD
    NEW BERN, NC 28560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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