Moore, Deborah D

Moore, Deborah D is an individual health care provider with primary practice located at 220 Executive Dr , Greer SC 29651-1244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Deborah D can be contacted via phone (864) 879-2111.

Contact Information

Primary practice address
220 Executive Dr Greer SC 29651-1244
Phone: (864) 879-2111
Fax: (864) 848-9493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN911 South Carolina

Profile Details

NPI number 1437131257
LBN Legal business name Moore, Deborah D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437131257 NPPES
South Carolina Other 1874 MEDICARE PTAN
South Carolina MEDICAID PA1845 MEDICARE PTAN

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