Individual
MR. JUSTIN CLAUDE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
3 SAINT FRANCIS DR STE 360, GREENVILLE, SC 29601-3972
(864) 233-4349
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
25609
SC
Other
Enumeration date
12/02/2021
Last updated
12/02/2024
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