Individual
MRS. PENELOPE HATCHER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 WILMINGTON ST, BEAUFORT, SC 29902-4956
(843) 525-5034
(843) 770-2075
Mailing address
601 WILMINGTON ST, BEAUFORT, SC 29902-4956
(843) 525-5034
(843) 770-2075
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21899
SC
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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