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Mark Tillman Moore, MD
Obstetrics & Gynecology Physician in Greenville, South Carolina
NPI 1427086156

Mark Tillman Moore is a Obstetrics & Gynecology Physician based in Greenville, SC. Mark Tillman Moore practices in Greenville, SC and has the professional credentials of MD. The NPI Number for Mark Tillman Moore is 1427086156 and holds a License No. 15206 (South Carolina).

The current practice location address for Mark Tillman Moore is 890 W Faris Rd, Greenville, SC and can be reached out via phone at 864-233-1112.

Location: 890 W Faris Rd, Greenville, SC, 29615-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427086156
Provider Name
Mark Tillman Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
890 W Faris Rd, Greenville, SC, 29615-4545
Phone Number
864-233-1112
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4602405 01 SC AETNA
57-1004971032 01 SC BCBS OF SC
1569106 01 SC CIGNA
P00713069 01 SC RR MEDICARE
152069 05 SC
institution
Provider Business Practice Location Address Details
Address
890 W Faris Rd
City
Greenville
State
South Carolina
Zip
29605-4247
Phone Number
864-233-1112
Fax Number
person
Provider Business Mailing Address Details
Address
890 W Faris Rd
City
Greenville
State
South Carolina
Zip
29605-4247
Phone Number
864-233-1112
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
15206 (South Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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