Individual
DR. ROBERT WILLARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1498 FREEDOM BLVD, FLORENCE, SC 29505-6077
(843) 676-2720
(843) 676-2722
Mailing address
1498 FREEDOM BLVD, FLORENCE, SC 29505-6077
(843) 676-2720
(843) 676-2722
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14794
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
14794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147941
—
SC
01
—
P00110451
MEDICARE ID
SC
Enumeration date
11/15/2005
Last updated
10/18/2016
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