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
Phone: (843) 676-2720
Fax: (843) 676-2722
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750363867 | NPPES |
South Carolina | MEDICAID | 147941 | |
South Carolina | Other | P00110451 |
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