Most Relevant Information
Provider Data
| NPI Number: | 1003309196 |
| Provider Name: | JOHN MOSS PAINTER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP1600X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
109 BEE ST
CHARLESTON
SC
294015703
Practice Location Phone/Fax
| Phone: | 8435775011 |
| Fax: |
Provider Mailing Location
109 BEE ST
CHARLESTON
SC
294015703
Provider Mailing Phone/Fax
| Phone: | 8435775011 |
| Fax: |