Moss, Randi

Moss, Randi is an sole proprietor health care provider with primary practice located at 800 Legion St Suite 220C, Conway SC 29526-4825. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Moss, Randi can be contacted via phone (843) 468-1850.

Contact Information

Primary practice address
800 Legion St Suite 220C Conway SC 29526-4825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4656 South Carolina

Profile Details

NPI number 1962869834
LBN Legal business name Moss, Randi
Credentials SSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2016
Last updated Jan 24th, 2016 - about 10 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.

Request for update

Popular Providers