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Individual

MRS. DEBORAH DOBROTA MOYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19030
SC
363LA2200X
Adult Health Nurse Practitioner
5006546
NC
363LG0600X
Gerontology Nurse Practitioner
19030
SC
363LG0600X
Gerontology Nurse Practitioner
5006546
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2548
SC
Enumeration date
09/16/2010
Last updated
08/29/2019
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