SearchSouth Carolina172A00000X

Favian Moore

NPI 1033912506 · on the registry since 2025

Practice

Address
125 Basin Dr
Cheraw, SC 29520
Phone
(843) 253-2454

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina