Moore, John Davis
Moore, John Davis is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Moore, John Davis can be contacted via phone (864) 522-3700.Contact Information
Primary practice address
7 Independence Pt Ste 300
Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 58651 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | A119480 | California |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 88397 | South Carolina |
Profile Details
| NPI number | 1164491379 |
|---|---|
| LBN Legal business name | Moore, John Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 22nd, 2022 - 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 | 1164491379 | NPPES |
| South Carolina | MEDICAID | PENDING |
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