Moore, Leslie Jarrott
Moore, Leslie Jarrott is an individual health care provider with primary practice located at 1333 Taylor St Ste 5F , Columbia SC 29201-2951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Moore, Leslie Jarrott can be contacted via phone (803) 748-9966.Contact Information
Primary practice address
1333 Taylor St Ste 5F
Columbia SC 29201-2951
Phone: (803) 748-9966
Fax: (803) 748-7174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32261 | South Carolina |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 32261 | South Carolina |
Profile Details
| NPI number | 1437113651 |
|---|---|
| LBN Legal business name | Moore, Leslie Jarrott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Sep 26th, 2018 - about 6 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 | 1437113651 | NPPES |
| South Carolina | MEDICAID | 322617 | |
| South Carolina | Other | P00944488 |
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