Organization
CAROLINA CENTER FOR FERTILITY & ENDOCRINOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E. MOORE M.D. (OWNER)
(803) 779-6320
Entity
Organization
Contact information
Practice address
1410 BLANDING ST, SUITE 205, COLUMBIA, SC 29201-2967
(803) 779-6320
(803) 779-6323
Mailing address
1410 BLANDING ST, SUITE 205, COLUMBIA, SC 29201-2967
(803) 779-6320
(803) 779-6323
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
10002
SC
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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