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1811360613
OCTAVIA MOORE
COLUMBIA, SC
NPI
1811360613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: SC 19732)
Enumeration Date
2015-11-03
Last Update Date
2020-09-28
Business Address
OCTAVIA MOORE NP
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
OCTAVIA MOORE NP
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Copy
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