Individual
DR. ALBERT JURDAN MOSSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303-3098
(864) 560-1674
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16093
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160934
—
SC
01
—
5429473
AETNA
SC
05
—
890553Q
—
NC
01
—
98355
MEDCOST
SC
Enumeration date
01/30/2006
Last updated
02/02/2021
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