Individual
DR. JAMES N MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Mailing address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23140
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183608
RAIL ROAD MEDICARE
SC
05
—
T74826
—
SC
Enumeration date
10/13/2005
Last updated
02/03/2012
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