MICHAEL CRAIG MOSTOLLER

CHARLESTON, SC
NPI1154655223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  TL1442)
Enumeration Date2009-09-23
Last Update Date2020-10-15
Business Address
Mr. MICHAEL CRAIG MOSTOLLER PAC
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
Mr. MICHAEL CRAIG MOSTOLLER PAC
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200