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Ms. Casey Blythe Moore, MS,ATC,SCAT
Student in an Organized Health Care Education/Training Program in Greenville, South Carolina
NPI 1134492093

Casey Blythe Moore is a Student in an Organized Health Care Education/Training Program based in North Charleston, SC. Casey Blythe Moore practices in Greenville, SC and has the professional credentials of MS,ATC,SCAT. The NPI Number for Casey Blythe Moore is 1134492093 and holds a License No. 1258 (South Carolina).

The current practice location address for Casey Blythe Moore is 3300 Palmetto Hwy, Greenville, SC and can be reached out via phone at 828-260-1308.

Location: 3300 Palmetto Hwy, Greenville, SC, 29418-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134492093
Provider Name
Casey Blythe Moore
Credential
MS,ATC,SCAT
Provider Entity Type
Individual
Gender
Female
Address
3300 Palmetto Hwy, Greenville, SC, 29418-2210
Phone Number
828-260-1308
Fax Number
Provider Enumeration Date
02/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3300 Palmetto Hwy
City
Greenville
State
South Carolina
Zip
29613-0001
Phone Number
828-260-1308
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Palmetto Hwy
City
Greenville
State
South Carolina
Zip
29613-0001
Phone Number
828-260-1308
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1258 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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