| Mrs Charlotte T Moore, PA | |
| 
					116 Baskervill Dr, Pawleys Island, SC 29585-6013  | |
| (843) 237-2672 | |
| (843) 237-0369 | 
| Full Name | Mrs Charlotte T Moore | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 116 Baskervill Dr, Pawleys Island, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598870750 | NPI | - | NPPES | 
| A246 | Other | SC | PA LICENSE NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | A246 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Charlotte T Moore, PA 185 Rossdhu Ave, Pawleys Island, SC 29585-5871 Ph: (843) 237-8313  | Mrs Charlotte T Moore, PA 116 Baskervill Dr, Pawleys Island, SC 29585-6013 Ph: (843) 237-2672  | 
Camryn Sarah Lanford,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13 Riverbirch Ln, Pawleys Island, SC 29585 Phone: 843-630-0553  | |
Melissa Renee Bliss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9653 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-235-3131  | |
Daniel Quirk Iii, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Business Center Dr, Pawleys Island, SC 29585 Phone: 888-467-1117 Fax: 855-786-6996  | |
Ms. Katelyn Stalbird, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14490 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-881-4440 Fax: 843-314-0785  | |
Jennifer L Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9699 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-237-4296 Fax: 843-237-0495  |