Home » South Carolina » 29944 » Pamela J Moore

Pamela J Moore (CPNP)

Mrs. Pamela J Moore (CPNP) is a health care provider specializes in Nurse Practitioner.

profile-icon Basic Information

Practice Location 1000 Pine Street, Varnville, SC 29944-0969, US
Practice Location Phone803-943-5228
Practice Location Fax803-943-4591
GenderFemale
Specialty InNurse Practitioner
NPI ?1306846142
Entity TypeIndividual
Enumeration Date ? Jul 22, 2005
Last Update Date ? Jun 24, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Pamela J Moore

SpecialtySpecializationLicenseLicense State
Nurse PractitionerPediatrics 1881South Carolina

legacy-id-icon Legacy Provider IDs of Pamela J Moore

Provider IdIssuer StateIssuer TypeIssuer
GP0365South CarolinaMedicaid
570669239South CarolinaOtherFED TIN NUMBER
RHC013South CarolinaMedicaid