Individual
GINGER ANNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7151
Mailing address
1032 BRANHAM RD, BLYTHEWOOD, SC 29016-8955
(803) 629-4775
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APN.25258
SC
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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