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Individual

DR. JOHN ANDREW MOUZAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538
Mailing address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37979
SC

Other

Enumeration date
06/23/2011
Last updated
05/29/2019
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