Moore, Edward E

Moore, Edward E is an sole proprietor health care provider with primary practice located at 1410 Blanding St Suite 205, Columbia SC 29201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Moore, Edward E can be contacted via phone (803) 779-6320.

Contact Information

Primary practice address
1410 Blanding St Suite 205 Columbia SC 29201
Phone: (803) 779-6320
Fax: (803) 779-6323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 10002 South Carolina

Profile Details

NPI number 1184671158
LBN Legal business name Moore, Edward E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184671158 NPPES
South Carolina MEDICAID G03136

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