Individual
DR. KRISTIAN ANDRE MOSTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
717 OLD TROLLEY RD STE 4, SUMMERVILLE, SC 29485-5287
(843) 873-1889
(843) 873-1663
Mailing address
4854 ROCKING PORCH LN, SUMMERVILLE, SC 29485-6603
(803) 397-3198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2065
SC
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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