Moss, Charles
Moss, Charles is an individual health care provider with primary practice located at 410 W Wesmark Blvd , Sumter SC 29150-1983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moss, Charles can be contacted via phone (803) 469-4402.Contact Information
Primary practice address
410 W Wesmark Blvd
Sumter SC 29150-1983
Phone: (803) 469-4402
Fax: (803) 469-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 16687 | South Carolina |
Profile Details
| NPI number | 1497860936 |
|---|---|
| LBN Legal business name | Moss, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Mar 10th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497860936 | NPPES |
| South Carolina | MEDICAID | 166876 |
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