Individual
DR. NATHANIEL ELLIOTT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
216 SCUFFLETOWN RD STE B, SIMPSONVILLE, SC 29681-7296
(864) 254-5899
(864) 254-5898
Mailing address
216 SCUFFLETOWN RD STE B, SIMPSONVILLE, SC 29681-7296
(864) 254-5899
(864) 254-5898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 6176
SC
2251X0800X
Orthopedic Physical Therapist
Primary
PT 6176
SC
Other
Enumeration date
09/04/2008
Last updated
04/17/2015
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