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1013178110
JUSTIN M MOORE
ANDERSON, SC
NPI
1013178110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL31007)
Enumeration Date
2008-06-20
Last Update Date
2023-02-16
Business Address
JUSTIN M MOORE MD
4120 HIGHWAY 24
ANDERSON, SC 29626-5321
Phone number: 864-512-5830
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Mailing Address
JUSTIN M MOORE MD
PO BOX 100174
COLUMBIA, SC 29202-3174
Phone number: 864-512-5830
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