person
Octavia Moore, NP
Primary Care Nurse Practitioner in Columbia, South Carolina
NPI 1811360613

Octavia Moore is a Primary Care Nurse Practitioner based in Columbia, SC and is specialized in Primary Care. Octavia Moore practices in Columbia, SC and has the professional credentials of NP. The NPI Number for Octavia Moore is 1811360613 and holds a License No. 19732 (South Carolina).

The current practice location address for Octavia Moore is 6439 Garners Ferry Rd, Columbia, SC and can be reached out via phone at 803-776-4000.

Location: 6439 Garners Ferry Rd, Columbia, SC, 29209-1638
person
Provider Profile Details
NPI Number
1811360613
Provider Name
Octavia Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6439 Garners Ferry Rd, Columbia, SC, 29209-1638
Phone Number
803-776-4000
Fax Number
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6439 Garners Ferry Rd
City
State
Zip
29209-1638
Phone Number
803-776-4000
Fax Number
person
Provider Business Mailing Address Details
Address
6439 Garners Ferry Rd
City
State
Zip
29209-1638
Phone Number
803-776-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
19732 (South Carolina)
Definition
Definition to come...
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