Provider Demographics
NPI:1932928389
Name:MOXEY, RHONDA PAGE
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:PAGE
Last Name:MOXEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-7458
Mailing Address - Country:US
Mailing Address - Phone:843-250-9347
Mailing Address - Fax:
Practice Address - Street 1:1814 ACORN DR
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-7458
Practice Address - Country:US
Practice Address - Phone:843-250-9347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-2249251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health