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1679209472
KATIE C MOORE
CONWAY, SC
NPI
1679209472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26350)
Enumeration Date
2022-07-26
Last Update Date
2023-11-13
Business Address
KATIE C MOORE FNP-C
2996 E HIGHWAY 501
CONWAY, SC 29526-9532
Phone number: 843-347-2613
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Mailing Address
KATIE C MOORE FNP-C
2996 E HIGHWAY 501
CONWAY, SC 29526-9532
Phone number: 843-347-2613
Copy
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