Individual
ALEXIS MOFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6859
(803) 434-7606
Mailing address
9 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL89914
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
07/11/2023
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