Individual
GAYE MOORE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 W HOSPITAL ST, MANNING, SC 29102-2912
(803) 433-4124
(803) 433-4230
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2554
SC
Other
Enumeration date
02/15/2006
Last updated
04/23/2019
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