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1316444151
SHAWN DONALD MOORE
SUMTER, SC
NPI
1316444151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC 89945)
Enumeration Date
2018-04-09
Last Update Date
2024-09-11
Business Address
SHAWN DONALD MOORE
115 N SUMTER ST STE 315
SUMTER, SC 29150-4967
Phone number: 803-774-9787
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Mailing Address
SHAWN DONALD MOORE
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6697
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