Individual
DR. JUSTIN S MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237
Mailing address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238567
—
SC
01
—
576007863102
BCBS OF SC
SC
01
—
576007863103
BLUE CHOICE OF SC
SC
01
—
6926060
CIGNA
SC
01
—
7129677
AETNA
SC
Enumeration date
06/01/2006
Last updated
08/22/2016
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