Individual
SHAWN DONALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N SUMTER ST STE 315, SUMTER, SC 29150-4967
(803) 774-9787
(803) 774-9781
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
89945
SC
Other
Enumeration date
04/09/2018
Last updated
09/11/2024
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