Moore, George

Moore, George is an individual health care provider with primary practice located at 225 S Main St , Mc Coll SC 29570-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, George can be contacted via phone (843) 523-5751.

Contact Information

Primary practice address
225 S Main St Mc Coll SC 29570-2020
Phone: (843) 523-5751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5711 South Carolina

Profile Details

NPI number 1457464554
LBN Legal business name Moore, George
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Sep 5th, 2017 - about 9 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 1457464554 NPPES
South Carolina MEDICAID 057119
South Carolina Other P00169807

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