Provider Demographics
NPI:1639195019
Name:MOZIE, BENJAMIN C (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:C
Last Name:MOZIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:29 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-3219
Mailing Address - Country:US
Mailing Address - Phone:910-333-9712
Mailing Address - Fax:910-333-9715
Practice Address - Street 1:1102 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5203
Practice Address - Country:US
Practice Address - Phone:910-333-9712
Practice Address - Fax:910-333-9715
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2018-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-01876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine