Brent Moister
Plastic and Reconstructive Surgery
24 Memorial Medical Dr
Greenville
, South Carolina 29605
Brent Moister
Plastic and Reconstructive Surgery
24 Memorial Medical Dr
Greenville
, South Carolina 29605
(864) 697-2009
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Brent Moister
- 24 Memorial Medical Dr
- Greenville, SC
- Zip : 29605-4452
- Phone : (864) 697-2009
Second Address
- Brent Moister
- 24 Memorial Medical Dr
- Greenville, SC
- Zip : 29605
- Fax : (864) 697-2009
- Phone : (864) 697-2009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0122X | Plastic and Reconstructive Surgery | 2007018104 | MO |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 36140 | SC |
National Provider Identifier
| NPI | 1306042254 |
|---|---|
| Provider Name | Brent Moister |
| First Address | Greenville, SC 29605-4452 |
| Second Address | Greenville, SC 29605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2007 |
| Last Update Date | 18/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.