Individual
JOHN CHARLES MUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 PIEDMONT BLVD, ROCK HILL, SC 29732-1836
(803) 327-2012
Mailing address
895 WINDBLOWN PL, ROCK HILL, SC 29730-9267
(803) 487-0708
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7HH6-MPO-WT79
MEDICARE
SC
Enumeration date
12/20/2022
Last updated
12/20/2022
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