Individual
THOMAS L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1530 ASHEVILLE HWY, SPARTANBURG, SC 29303-2006
(864) 582-5431
(864) 582-7111
Mailing address
PO BOX 5396, SPARTANBURG, SC 29304-5396
(864) 582-5431
(864) 582-7111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
09/10/2010
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