Dedrick Earl Moulton
MD | Pediatric Gastroenterology | Male
Dedrick Earl Moulton, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dedrick Earl Moulton is
1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, North Carolina - 28203-5866. He can be contacted on phone at
704-381-8840.
Dedrick Earl Moulton is a sole proprietor of his business.
NPI number (Unique professional ID) for Dedrick Earl Moulton is
1730276841 which was assigned by NPPES on 09 Oct, 2006 and it was last updated on 18 Nov, 2022.
Dedrick Earl Moulton license number is
2021-03243 for Pediatrics, Pediatric Gastroenterology (2080P0206X) in North Carolina.
Dedrick Earl Moulton specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dedrick Earl Moulton basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Gastroenterology |
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| Provider Name : | Dedrick Earl Moulton |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dedrick Earl Moulton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1001 Blythe Blvd, Medical Center Plaza Suite 200
Charlotte, NC, 28203-5866
United States |
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| Phone Number : | 704-381-8840 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730276841 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Oct, 2006 |
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| Last Updated On : | 18 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dedrick Earl Moulton are as mentioned. Primary taxonomy code for Dedrick Earl Moulton, MD is
2080P0206X (Pediatrics, Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2021-03243 | NC |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | Yes | 2021-03243 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
14214 BALLANTYNE LAKE RD,
CHARLOTTE, NC, 28277-3372
United States | CHARLOTTE, NC | 704-381-8840 |
2550 COURT DR,
GASTONIA, NC, 28054-2152
United States | GASTONIA, NC | 704-381-8840 |
1781 TATE BLVD SE,
HICKORY, NC, 28602-4251
United States | HICKORY, NC | 704-381-8840 |
100 MEDICAL PARK DR, STE 310E
CONCORD, NC, 28025-2948
United States | CONCORD, NC | 704-403-2660 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | dmoulton531711@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1001 Blythe Blvd, Medical Center Plaza, Suite 200
Charlotte, NC, 28203-5866
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
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Business Location:
Patients can refer following map for directions to
Dedrick Earl Moulton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.