Individual
MRS. CASEY MILLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
518 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
(843) 383-4426
Mailing address
518 E CAROLINA AVE, HARTSVILLE, SC 29550-4312
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19048
SC
Other
Enumeration date
12/03/2014
Last updated
05/07/2025
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