Individual
MRS. JANINE WATSON MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-6882
(803) 296-9200
(803) 296-9697
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A82054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125064
—
SC
01
—
570521956
EMPLOYEE ID#
SC
Enumeration date
10/05/2006
Last updated
03/09/2018
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