Individual
ANDREW MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9755
Mailing address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL89979
SC
Other
Enumeration date
04/06/2023
Last updated
07/07/2023
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