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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1396064804 NPPES
South Carolina MEDICAID 326347
South Carolina MEDICAID PC3126
South Carolina MEDICAID RHC210

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