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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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