Individual
BRIDGET MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1730 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 256-6776
(803) 256-6778
Mailing address
2432 PLEASANT RIDGE DR, COLUMBIA, SC 29209-3134
(864) 934-8488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
644
SC
Other
Enumeration date
07/19/2012
Last updated
07/23/2015
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