Healthcare Provider Details

I. General information

NPI: 1437643988
Provider Name (Legal Business Name): MOSES CONE AFFILIATED PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N COX ST STE 28
ASHEBORO NC
27203-5514
US

IV. Provider business mailing address

350 N COX ST STE 28
ASHEBORO NC
27203-5514
US

V. Phone/Fax

Practice location:
  • Phone: 336-629-6500
  • Fax: 336-629-9500
Mailing address:
  • Phone: 336-629-6500
  • Fax: 336-629-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SALLY P HAMMOND
Title or Position: EXECUTIVE DIRECTOR, OPERATIONS
Credential:
Phone: 336-663-5007