Individual
COURTNEY B MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Mailing address
9267 MEDICAL PLAZA DR STE G, N CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1621
SC
363A00000X
Physician Assistant
Primary
TL1621
SC
Other
Enumeration date
02/01/2011
Last updated
11/03/2021
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