Individual
WILLIAM GARRISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169-2464
(803) 739-3550
(803) 739-3546
Mailing address
14 LOCKWOOD DR APT 5H, CHARLESTON, SC 29401-1131
(803) 360-6231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL94615
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/03/2025
Last updated
07/01/2025
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