MEDICARE: DR. MARK H MORIARTY M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	34691	NC

General Provider Information

NPI Number	:	1851488399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK H MORIARTY M. D.

Provider Business Mailing Address
First Line	:	PO BOX 1209
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28744-0569
Country	:	US
Telephone Number	:	828-213-1500
Fax Number	:	828-651-6570

Provider Business Practice Location Address
First Line	:	56 MEDICAL PARK DR
Second Line	:	SUITE 303
City	:	FRANKLIN
State	:	NC
Zip	:	28734-2632
Country	:	US
Telephone Number	:	828-349-8260
Fax Number	:	828-349-8261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	11/30/2015

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