person
Miss Adele Petigru Moore, FNP
Family Nurse Practitioner in Charleston, South Carolina
NPI 1588819205

Adele Petigru Moore is a Family Nurse Practitioner based in Charlotte, SC and is specialized in Family. Adele Petigru Moore practices in Charleston, SC and has the professional credentials of FNP. The NPI Number for Adele Petigru Moore is 1588819205 and holds a License No. 3716 (South Carolina).

The current practice location address for Adele Petigru Moore is 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC and can be reached out via phone at 843-723-8823 and via fax at 843-606-8059.

Location: 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1588819205
Provider Name
Adele Petigru Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2145 Henry Tecklenburg Dr Ste 220, Charleston, SC, 28275-1649
Phone Number
843-723-8823
Fax Number
843-606-8059
Provider Enumeration Date
11/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2192 05 SC
institution
Provider Business Practice Location Address Details
Address
2145 Henry Tecklenburg Dr Ste 220
City
State
Zip
29414-5894
Phone Number
843-723-8823
Fax Number
843-606-8059
person
Provider Business Mailing Address Details
Address
2145 Henry Tecklenburg Dr Ste 220
City
State
Zip
29414-5894
Phone Number
843-723-8823
Fax Number
843-606-8059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3716 (South Carolina)
Definition
Definition to come...
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