Individual provider · Type 1 NPI

Michael Craig Mostoller, PAC

Surgical Physician Assistant · Charleston, SC

NPI number 1154655223 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XTL1442 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1154655223

Michael Craig Mostoller, PAC's National Provider Identifier is 1154655223, issued on Sep 23, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charleston, SC. The record was last updated on Oct 15, 2020.