Individual
DARLENE H MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
669 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 367-2716
(843) 556-0300
Mailing address
655 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 367-2716
(843) 556-0300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14282
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142820
—
SC
Enumeration date
05/16/2006
Last updated
11/04/2020
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