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Individual

ALLISON WHITNEY MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 434-6771
(803) 434-3955
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29959
SC
208000000X
Pediatrics Physician
29959
SC
208M00000X
Hospitalist Physician
Primary
29959
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003110793B
GA
05
299590
SC
01
AA93647124
MEDICARE
SC
Enumeration date
06/14/2007
Last updated
06/24/2021
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