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Contact Information

MOORE ORTHOPAEDIC CLINIC, P.A.
THE PLEX
741 FASHION DRIVE
COLUMBIA, SC29229
 Phone: 803-227-8005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MOORE ORTHOPAEDIC CLINIC PA · (Female)

NPI # 1730296310
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PA0686
  • SC Other DM0194 MEDICAID DME PROVIDER #
  • SC Other 0497990001 MEDICARE DMERC PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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