Individual
MONICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1875 HARDEN ST, COLUMBIA, SC 29204-1014
(803) 765-1503
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN23335
SC
Other
Enumeration date
08/09/2013
Last updated
03/08/2021
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