Individual
DR. KRISTIN EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8120 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1438
(843) 286-1349
Mailing address
8120 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1438
(843) 286-1349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19066
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570783896
FED TAX ID
SC
Enumeration date
04/21/2006
Last updated
07/29/2015
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