Individual
JOHN M MOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
169 MEDICAL CIR, SUITE A, WEST COLUMBIA, SC 29169-3655
(803) 454-1661
(803) 454-1660
Mailing address
169 MEDICAL CIR, SUITE A, WEST COLUMBIA, SC 29169-3655
(803) 454-1661
(803) 454-1660
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
17489
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651254688
BCBS
SC
Enumeration date
12/07/2005
Last updated
02/09/2012
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