Individual
MRS. ANDRIAN JERNISE GREEN-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2246 BLASS DR, FLORENCE, SC 29505-6479
(260) 410-0729
Mailing address
2246 BLASS DR, FLORENCE, SC 29505-6479
(260) 410-0729
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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