Individual
MISS TERRI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4568 SEABOARD RD, SALTERS, SC 29590-3365
(843) 387-5425
(843) 387-5444
Mailing address
4568 SEABOARD RD, SALTERS, SC 29590-3365
(843) 387-5425
(843) 387-5444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
943199
SC
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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