Individual
DEBORAH D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
220 EXECUTIVE DR, GREER, SC 29651-1244
(864) 879-2111
(864) 848-9493
Mailing address
220 EXECUTIVE DR, GREER, SC 29651-1244
(864) 879-2111
(864) 848-9493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1874
MEDICARE PTAN
SC
05
—
PA1845
—
SC
Enumeration date
11/17/2005
Last updated
05/03/2026
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