Individual
ROSEMARY STOWE MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE # MSC333, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
160 WENTWORTH ST, CHARLESTON, SC 29401-6702
(601) 757-1376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL84223
SC
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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