Individual
JANICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4220 CAROLINA EXCHANGE DR, MYRTLE BEACH, SC 29579-4220
(843) 663-8000
(843) 663-8158
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19726
SC
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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