Douglas Boylston Moore III, MD
Family Medicine in Abbeville, SC. Individual provider (NPI-1).
NPI number1396064804
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1396064804
- Entity type
- Individual (NPI-1)
- Name
- Douglas Boylston Moore III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2010
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 32634 | SC | Yes |
Other names
- Trey Moore (Other Name)
Practice location
901 W Greenwood StSuite 9
Abbeville, SC 29620-5717
Phone 864-366-9681 · Fax 864-366-5600
Mailing address
901 W Greenwood StSuite 9
Abbeville, SC 29620-5717
Phone 864-366-9681 · Fax 864-366-5600
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