Moore, Erica

Moore, Erica is an individual health care provider with primary practice located at 853 N Church St Suite 720, Spartanburg SC 29303-3098. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Erica can be contacted via phone (864) 560-6419.

Contact Information

Primary practice address
853 N Church St Suite 720 Spartanburg SC 29303-3098
Phone: (864) 560-6419
Fax: (864) 560-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 866758 South Carolina

Profile Details

NPI number 1679658686
LBN Legal business name Moore, Erica
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 27th, 2017 - about 8 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 1679658686 NPPES
South Carolina MEDICAID DT1017
South Carolina Other P00662543
South Carolina Other Q340476067
South Carolina Other Q340475019
South Carolina Other Q340473365
South Carolina Other Q340475193
South Carolina Other Q340476066

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