Individual
DR. TAMARA KYLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
200 PORTS AUTHORITY DR, MOUNT PLEASANT, SC 29464-7998
(843) 792-1414
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21089
SC
Other
Enumeration date
06/28/2017
Last updated
12/20/2019
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