Individual
KATIE C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2996 E HIGHWAY 501, CONWAY, SC 29526-9532
(843) 347-2613
Mailing address
2996 E HIGHWAY 501, CONWAY, SC 29526-9532
(843) 347-2613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26350
SC
Other
Enumeration date
07/26/2022
Last updated
11/13/2023
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