Individual
MS. TERESA COLEMAN MARTIN-MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2101 DUTCH FORK RD, CHAPIN, SC 29036-7576
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3694
SC
363LA2200X
Adult Health Nurse Practitioner
3694
SC
Other
Enumeration date
11/21/2007
Last updated
09/16/2016
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