Individual
DR. TIMOTHY W MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 HIGHWAY 28 BYP, ANDERSON, SC 29624-3742
(864) 772-8173
(833) 996-1161
Mailing address
108 HIGHWAY 28 BYP, ANDERSON, SC 29624-3742
(864) 772-8173
(833) 996-1161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
224227
NY
207Q00000X
Family Medicine Physician
Primary
40702
SC
Other
Enumeration date
07/19/2006
Last updated
03/26/2026
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