Individual
DR. CHARLES MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Mailing address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166876
—
SC
Enumeration date
08/21/2006
Last updated
03/10/2008
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