Individual
ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
2377 DAVE LYLE BLVD, ROCK HILL, SC 29730-7939
(803) 366-9404
Mailing address
2377 DAVE LYLE BLVD, ROCK HILL, SC 29730-7939
(803) 366-9404
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
350
SC
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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