person
Mr. William M Moore JR., MD
Vascular Surgery Physician in West Columbia, South Carolina
NPI 1316958895

William M Moore JR. is a Vascular Surgery Physician based in West Columbia, SC and is specialized in Vascular Surgery. William M Moore JR. practices in West Columbia, SC and has the professional credentials of MD. The NPI Number for William M Moore JR. is 1316958895 and holds a License No. 11908 (South Carolina).

The current practice location address for William M Moore JR. is 2728 Sunset Blvd Ste 400, West Columbia, SC and can be reached out via phone at 803-936-7095 and via fax at 803-936-7908. You can also correspond with William M Moore JR. through the mailing address at PO BOX 6069, WEST COLUMBIA, SC - 29171-6069 (mailing address contact number: ).

Location: 2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
person
Provider Profile Details
NPI Number
1316958895
Provider Name
William M Moore JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
Phone Number
803-936-7095
Fax Number
803-936-7908
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119080 05 SC
P00120188 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2728 Sunset Blvd Ste 400
City
State
Zip
29169-4839
Phone Number
803-936-7095
Fax Number
803-936-7908
person
Provider Business Mailing Address Details
Address
Po Box 6069
City
State
Zip
29171-6069
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
11908 (South Carolina)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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