Individual
JOHN H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 GERVAIS ST, STE 300, COLUMBIA, SC 29201-3047
(803) 254-3230
(803) 540-1180
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2294
—
SC
Enumeration date
05/16/2006
Last updated
11/10/2020
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