Individual
DELORES MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.AC., PH.D.
Contact information
Practice address
450 W CAROLINA AVE, HARTSVILLE, SC 29550-4524
(843) 319-0329
Mailing address
28 AMMONS LN, HARTSVILLE, SC 29550-0299
(843) 319-0329
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
69
SC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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