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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, P.A.

NPI Number 1730296310
LBN Legal business name MOORE ORTHOPAEDIC CLINIC, P.A.
Authorized official SEAN MCNALLY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC Medicaid PA0686
SC Other DM0194 MEDICAID DME PROVIDER #
SC Other 0497990001 MEDICARE DMERC PROVIDER #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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