Individual
DR. JAMES LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3929 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 281-9119
Mailing address
3929 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 281-9119
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-03338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3338
—
SC
Enumeration date
09/15/2006
Last updated
07/09/2007
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