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Individual

BRANDI MOZIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 456-7311
Mailing address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 456-7311

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-08782
NC
363AM0700X
Medical Physician Assistant
NY

Other

Enumeration date
08/25/2016
Last updated
02/25/2019
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