Individual
MOIRA O'TOOLE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1113
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2603
SC
363A00000X
Physician Assistant
PA030784
DC
Other
Enumeration date
06/17/2013
Last updated
11/27/2018
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