Organization
ST. ANDREWS PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLENE H MOAK M.D. (OWNER / MEMBER)
(843) 327-2716
Entity
Organization
Contact information
Practice address
669 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 367-2716
(843) 556-0300
Mailing address
669 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 367-2716
(843) 556-0300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4054
—
SC
Enumeration date
07/06/2006
Last updated
11/30/2007
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