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Damitchell Moore, NCPT

NPI 1568212884 · on the registry since 2024

Practice

Address
136-4 Forum Dr #234
Columbia, SC 29229
Phone
(839) 234-0175

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-31

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