Moore, Damitchell Detavious Montez

Moore, Damitchell Detavious Montez is an individual health care provider with primary practice located at 136-4 Forum Dr #234 , Columbia SC 29229. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as his primary health care specialty. Moore, Damitchell Detavious Montez can be contacted via phone (839) 234-0175.

Contact Information

Primary practice address
136-4 Forum Dr #234 Columbia SC 29229
Phone: (839) 234-0175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X South Carolina

Profile Details

NPI number 1568212884
LBN Legal business name Moore, Damitchell Detavious Montez
Credentials NCPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 31st, 2024 - about last year

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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