Search › North Carolina › 101YM0800X
Candice Moffatt
NPI 1871032359 · on the registry since 2017
Practice
- Address
- 11709 Fruehauf Dr Ste 124
Charlotte, NC 28273 - Phone
- (704) 534-2082
- Fax
- (888) 416-8540
- Organisation at this address
- 4 Life Lab
Skinique Llc
Lrc Testing Center
Bpolloni Consulting
Active Healthcare, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 10801 Monroe Rd, Matthews, NC
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina