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Marie Moore
Emergency Registered Nurse in Fairfax, South Carolina
NPI 1811384340

Marie Moore is a Emergency Registered Nurse based in Fairfax, SC and is specialized in Emergency. Marie Moore practices in Fairfax, SC. The NPI Number for Marie Moore is 1811384340 and holds a License No. 217303 (South Carolina).

The current practice location address for Marie Moore is 894 7Th St W, Fairfax, SC and can be reached out via phone at 843-812-8432.

Location: 894 7Th St W, Fairfax, SC, 29827-4880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811384340
Provider Name
Marie Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
894 7Th St W, Fairfax, SC, 29827-4880
Phone Number
843-812-8432
Fax Number
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217303 01 SC SC STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
894 7Th St W
City
Fairfax
State
South Carolina
Zip
29827-4880
Phone Number
843-812-8432
Fax Number
person
Provider Business Mailing Address Details
Address
894 7Th St W
City
Fairfax
State
South Carolina
Zip
29827-4880
Phone Number
843-812-8432
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
217303 (South Carolina)
Definition
Definition to come...
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