Moll, Justin S

Moll, Justin S is an individual health care provider with primary practice located at 525 Verdae Blvd Ste 200 , Greenville SC 29607-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moll, Justin S can be contacted via phone (864) 272-0388.

Contact Information

Primary practice address
525 Verdae Blvd Ste 200 Greenville SC 29607-4021
Phone: (864) 272-0388
Fax: (864) 213-9237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23856 South Carolina

Profile Details

NPI number 1285671131
LBN Legal business name Moll, Justin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285671131 NPPES
South Carolina Other 6926060 CIGNA
South Carolina Other 7129677 CIGNA
South Carolina MEDICAID 238567 CIGNA
South Carolina Other 576007863102 CIGNA
South Carolina Other 576007863103 CIGNA

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