Individual
LAURA MELINDA MORETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W MAIN ST, UNION, SC 29379-2717
(864) 429-8029
(864) 429-3515
Mailing address
801 W MAIN ST, UNION, SC 29379-2717
(864) 429-8029
(864) 429-3515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11066
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110668
—
SC
Enumeration date
05/22/2006
Last updated
08/23/2013
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