Individual
DR. JOHN EDWARD MOSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E CHEVES ST, SUITE 370, FLORENCE, SC 29506-2716
(843) 667-6229
(843) 667-1758
Mailing address
901 E CHEVES ST, PO BOX 477, FLORENCE, SC 29506-2716
(843) 667-6229
(843) 667-1758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10782
ND
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
10091
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
10782
ND
Other
Enumeration date
01/30/2006
Last updated
05/24/2021
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