Individual
ROBERT BERNARD MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
(843) 320-3482
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0032150
NC
207P00000X
Emergency Medicine Physician
6113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60377
BLUE CROSS
NC
05
—
8960377
—
NC
Enumeration date
02/21/2006
Last updated
11/06/2015
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