Individual
GINI G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22002
SC
Other
Enumeration date
07/16/2018
Last updated
03/24/2021
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