IndividualActive
Dedrick Moulton, MD
NPI 1730276841 · Pediatric Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1730276841
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021-03243 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Phone: (704) 381-8840
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Additional practice locations (4)
- 14214 Ballantyne Lake RdCharlotte, NC 28277-3372Phone: (704) 381-8840
- 100 Medical Park DrSte 310eConcord, NC 28025-2948Phone: (704) 403-2660
- 2550 Court DrGastonia, NC 28054-2152Phone: (704) 381-8840
- 1781 Tate Blvd SeHickory, NC 28602-4251Phone: (704) 381-8840
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2022-11-18
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.