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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Popular Providers
-
James-Frazer, Irene
1494 Lake Murray Blvd Fl 2 , Columbia SC 29212-8697 -
Brown, Barry M.
111 Doctor Cir , Columbia SC 29203-6502 -
Head, Patricia Michele
1750 Laurel St , Columbia SC 29201-2625 -
Morman, Gwendolyn Catricia
6439 Garners Ferry Rd , Columbia SC 29209-1638 -
Hellenga, Leslie James
1301 Taylor St , Columbia SC 29201-2942 -
Eaddy, Jillian O.
111 Doctor Cir , Columbia SC 29203-6502 -
Kirincich-Smith, Ashley M
2435 Forest Dr , Columbia SC 29204-2026 -
Carter, Mollie
7033 Saint Andrews Rd Ste 205 , Columbia SC 29212-1181