Individual
DEAN V MOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(912) 629-0457
(912) 629-0468
Mailing address
PO BOX 15479, SAVANNAH, GA 31416-2179
(912) 629-0457
(912) 629-0468
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
027873
GA
2085R0202X
Diagnostic Radiology Physician
14702
SC
2085R0202X
Diagnostic Radiology Physician
2012-01179
NC
2085R0202X
Diagnostic Radiology Physician
25MP00560400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412728K
—
GA
01
—
027873
LICENSE #
GA
01
—
10075550
AMERIGROUP
—
01
—
14702
LICENSE #
SC
01
—
20058502
FIRST CHOICE
—
01
—
44155
LICENSE
KY
01
—
52022342
BCBSGA
GA
05
—
G27873
—
SC
01
—
N333567
WELLCARE
—
01
—
P00316955
RAILROAD MEDICARE
GA
01
—
P00646674
RAILROAD MEDICARE
SC
Enumeration date
05/18/2006
Last updated
11/05/2025
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