Moon, David W

Moon, David W is an individual health care provider with primary practice located at 276 N Ron Mcnair Blvd , Lake City SC 29560-2462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moon, David W can be contacted via phone (843) 394-5471.

Contact Information

Primary practice address
276 N Ron Mcnair Blvd Lake City SC 29560-2462
Phone: (843) 394-5471
Fax: (843) 394-5459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9839 South Carolina

Profile Details

NPI number 1417053133
LBN Legal business name Moon, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated May 15th, 2014 - about 11 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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