Moore, Octavia

Moore, Octavia is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Moore, Octavia can be contacted via phone (803) 776-4000.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 19732 South Carolina

Profile Details

NPI number 1811360613
LBN Legal business name Moore, Octavia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2015
Last updated Sep 28th, 2020 - about 5 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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