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NPI Code Detail

MEDICARE: MRS. SHERILL MULDROW MOZINGO M.S., CCC-SLP

MEDICARE: MRS. SHERILL MULDROW MOZINGO M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8010SC

General Provider Information

NPI Number : 1528781945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERILL MULDROW MOZINGO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 631 HUBB KELLEY RD
Second Line :
City : CASSATT
State : SC
Zip : 29032-9031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2825 CARTER RD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1712
Country : US
Telephone Number : 803-469-7007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 11/21/2023

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Directions to “ MRS. SHERILL MULDROW MOZINGO M.S., CCC-SLP” Practice Location

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