Individual
SHATORI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4012 CRIMSON PASS, GRANITEVILLE, SC 29829-3265
(803) 634-9224
Mailing address
4012 CRIMSON PASS, GRANITEVILLE, SC 29829-3265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229566
SC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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