Search › South Carolina › 363LA2100X
Justin Moore, NURSE PRACTITIONER
NPI 1164180535 · on the registry since 2021 · sole proprietor
Practice
- Address
- 701 Grove Rd Fl 5
Greenville, SC 29605 - Phone
- (864) 455-4411
- Fax
- (864) 455-4480
- Organisation at this address
- Rdm Staffing Llc
Prisma Health-Upstate
Prisma Health-Upstate
Prisma Health-Upstate
Prisma Health-UpstateInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,215
Additional practice sites
- 3 Saint Francis Dr Ste 360, Greenville, SC
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-02
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