Moore, Robert Willard

Moore, Robert Willard is an sole proprietor health care provider with primary practice located at 1498 Freedom Blvd , Florence SC 29505-6077. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Moore, Robert Willard can be contacted via phone (843) 676-2720.

Contact Information

Primary practice address
1498 Freedom Blvd Florence SC 29505-6077
Fax: (843) 676-2722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14794 South Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 14794 South Carolina

Profile Details

NPI number 1750363867
LBN Legal business name Moore, Robert Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Oct 18th, 2016 - 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 1750363867 NPPES
South Carolina MEDICAID 147941
South Carolina Other P00110451

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