Healthcare Provider Details

I. General information

NPI: 1942508866
Provider Name (Legal Business Name): MATTHEW LANGDON MOYE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 CHARLOTTE HWY
FAIRVIEW NC
28730-7748
US

IV. Provider business mailing address

1207 CHARLOTTE HWY
FAIRVIEW NC
28730-7748
US

V. Phone/Fax

Practice location:
  • Phone: 828-202-3990
  • Fax:
Mailing address:
  • Phone: 828-202-3990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2012-01493
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAB8675398012
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number2012-01493
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: