Moore, Douglas Boylston
Moore, Douglas Boylston is an individual health care provider with primary practice located at 901 W Greenwood St Suite 9, Abbeville SC 29620-5717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Douglas Boylston can be contacted via phone (864) 366-9681.Contact Information
Primary practice address
901 W Greenwood St Suite 9
Abbeville SC 29620-5717
Phone: (864) 366-9681
Fax: (864) 366-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32634 | South Carolina |
Profile Details
| NPI number | 1396064804 |
|---|---|
| LBN Legal business name | Moore, Douglas Boylston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2010 |
| Last updated | Jan 6th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396064804 | NPPES |
| South Carolina | MEDICAID | 326347 | |
| South Carolina | MEDICAID | PC3126 | |
| South Carolina | MEDICAID | RHC210 |
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