Organization
MOORE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MOORE (OWNER)
(843) 705-9650
Entity
Organization
Contact information
Practice address
198 OKATIE VILLAGE DR, SUITE 103, BOX 104, OKATIE, SC 29909-7527
(843) 705-9650
Mailing address
198 OKATIE VILLAGE DR, SUITE 103, BOX 104, OKATIE, SC 29909-7527
(843) 705-9650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/20/2014
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