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Ryan Scott Mobley

Student in an Organized Health Care Education/Training Program

Student, Health Care

270 Copperfield Blvd NE Ste 201, Concord, NC 28025-2444

PECOS Enrollment

This provider is enrolled in PECOS as RYAN MOBLEY.

Based on the most recent information from CMS, provider Ryan Scott Mobley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1457111866
Provider Type
Individual
Full Name
Mobley, Ryan Scott
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
3/21/2024
Last Updated
3/25/2024

Contact Information

Practice Location

270 Copperfield Blvd NE Ste 201, Concord, NC 28025-2444

(704) 403-0473

Unlisted Fax

Mailing Location

12012 Rivanna Ln, Knoxville, TN 37922-6655

(561) 866-1427

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ryan Scott Mobley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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