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General NPI Number Information
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NPI Number | 1700237187
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Entity Type | Individual
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Provider Name | HARLEY MOIT D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1205 TWO ISLAND CT UNIT 203
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City | MOUNT PLEASANT
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State | SC
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Zip | 29466-7406
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Country | US
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Telephone | 843-971-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 TWO ISLAND CT UNIT 203
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City | MOUNT PLEASANT
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State | SC
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Zip | 29466-7406
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Country | US
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Telephone | 843-971-2860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125.069371
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 02006435A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 2024-00961
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 93543
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License Number State | SC
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