Individual
EDWARD E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 BLANDING ST, SUITE 205, COLUMBIA, SC 29201
(803) 779-6320
(803) 779-6323
Mailing address
1410 BLANDING ST, SUITE 205, COLUMBIA, SC 29201
(803) 779-6320
(803) 779-6323
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
10002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G03136
—
SC
Enumeration date
05/27/2006
Last updated
07/08/2007
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