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Individual

SCOTT EMORY MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN-CNP, AGPCNP-BC

Contact information

Practice address
4437 ROADOAN RD, BROOKLYN, OH 44144-2745
(864) 430-5093
Mailing address
4437 ROADOAN RD, BROOKLYN, OH 44144-2745
(864) 430-5093

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18302
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0041841
OH

Other

Enumeration date
06/07/2013
Last updated
03/26/2026
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