Individual
KRISTEN TERRY MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 W FARIS RD, SUITE 310, GREENVILLE, SC 29605-4253
(864) 455-8300
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1743PA
—
SC
01
—
SC21986084
MEDICARE PIN
SC
01
—
SC21988510
MEDICARE PIN
SC
01
—
SC21989068
MEDICARE PIN
SC
Enumeration date
11/07/2013
Last updated
01/27/2023
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