Individual
DR. SANDRA MORENO-HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
838 WEST MEETING STREET, SUITE A, LANCASTER, SC 29720
(803) 416-5295
(803) 416-5240
Mailing address
838 WEST MEETING STREET, SUITE A, LANCASTER, SC 29720
(803) 416-5295
(803) 416-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228907
—
SC
Enumeration date
09/08/2006
Last updated
02/12/2010
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