Organization
MOYD SURGICAL SERVICES
Active
Other names
MOYD and BANNISTER SURGICAL PARTNERSHIP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PICKENS KINARD MOYD MD FACS (OWNER)
(843) 332-5111
Entity
Organization
Contact information
Practice address
528 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
(843) 332-5111
(843) 383-8991
Mailing address
528 E CAROLINA AVE, HARTSVILLE, SC 29550
(843) 332-5111
(843) 383-8991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040020
—
SC
Enumeration date
01/31/2008
Last updated
07/31/2008
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