Individual
ANGEL T MOORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 792-2198
Mailing address
264 CHURCH ST, RIDGEVILLE, SC 29472-8057
(843) 810-8923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2435
SC
Other
Enumeration date
05/26/2022
Last updated
04/19/2023
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