Individual
SUSAN L. MOREHOUSE-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
507
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0526
—
SC
Enumeration date
05/04/2006
Last updated
05/26/2021
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