Individual provider · Type 1 NPI

Kacie Jo Costello Moody, PA

Physician Assistant · Fort Mill, SC

NPI number 1841461373 Active

Practice location

704 Gold Hill Rd, Suite 1200
Fort Mill, SC 29715-8906

Call (704) 667-3380 Map

Fax (704) 667-3381

Mailing address

PO Box 602148
Charlotte, NC 28260-2148

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-00779 (NC)
Physician Assistant Primary 363A00000X1295 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

34 other providers at this address

Other physician assistant providers in Fort Mill

See all in Fort Mill →

About NPI 1841461373

Kacie Jo Costello Moody, PA's National Provider Identifier is 1841461373, issued on Mar 12, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Mill, SC. The record was last updated on Jul 21, 2022.