Individual
BRANDI SHAYE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2430 REIDVILLE RD, SPARTANBURG, SC 29301-3652
(864) 516-1783
Mailing address
2430 REIDVILLE RD, SPARTANBURG, SC 29301-3652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11616
NC
363A00000X
Physician Assistant
Primary
3169
SC
Other
Enumeration date
03/08/2019
Last updated
02/02/2026
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