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1154655223
MICHAEL CRAIG MOSTOLLER
CHARLESTON, SC
NPI
1154655223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC TL1442)
Enumeration Date
2009-09-23
Last Update Date
2020-10-15
Business Address
Mr. MICHAEL CRAIG MOSTOLLER PAC
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
Mr. MICHAEL CRAIG MOSTOLLER PAC
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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