Individual
DR. ALLISON STOUGHTON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
126 S ASSEMBLY ST, COLUMBIA, SC 29201-4545
(803) 771-1342
Mailing address
3709 GREENBRIAR DR, COLUMBIA, SC 29206-3323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4139
—
SC
Enumeration date
07/11/2016
Last updated
01/10/2025
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