Moore, David Carson

Moore, David Carson is an individual health care provider with primary practice located at 316 Village Creek Dr , Boiling Springs SC 29316-5387. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Moore, David Carson can be contacted via phone (864) 327-9003.

Contact Information

Primary practice address
316 Village Creek Dr Boiling Springs SC 29316-5387
Phone: (864) 327-9003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X MPA3438 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MPA3438 South Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MPA3438 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1942859483
LBN Legal business name Moore, David Carson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2019
Last updated Jan 30th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942859483 NPPES
South Carolina MEDICAID 4061PA
South Carolina Other SCG971J6067
South Carolina Other SCG9716084
South Carolina Other SCG971J577

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