Fowler, Fara Moore
Fowler, Fara Moore is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Fowler, Fara Moore can be contacted via phone (843) 347-5060.Contact Information
Primary practice address
164 Waccamaw Medical Park Dr
Conway SC 29526-8903
Phone: (843) 347-5060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 00026004 | South Carolina |
Profile Details
| NPI number | 1174545321 |
|---|---|
| LBN Legal business name | Fowler, Fara Moore |
| Credentials | Registered Nurse Certified (RNC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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