Individual
DR. BRENDEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2500
Mailing address
417 BEACH BRIDGE RD, PAWLEYS ISLAND, SC 29585-7820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
82249
SC
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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