Kristin Emily Moore in Myrtle Beach - Pediatrics

Kristin Emily Moore - NPI 1154387801

Kristin Emily Moore is a Pediatrics in Myrtle Beach, South Carolina. Kristin Emily Moore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristin Emily Moore is 1154387801. The last update date is 2015-07-29.

Kristin Emily Moore's current location address is 8120 Rourk St, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434491438 and fax number 8432861349. The mailing address for Kristin Emily Moore is 8120 Rourk St, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristin Emily Moore
Address 8120 Rourk St, Myrtle Beach, South Carolina
Phone Number 8434491438
Fax Number 8432861349
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154387801
Provider Enumeration Date 2006-04-21
Last Updated Date 2015-07-29

Provider Mailing Address Detail

Address 8120 Rourk St
City Myrtle Beach
State South Carolina (SC)
Post Code 295724127
Phone Number 8434491438
Fax Number 8432861349

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 19066
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
570783896 SC FED TAX ID

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FAQs about Kristin Emily Moore

What is the unique identification code assigned to Kristin Emily Moore by the Centers for Medicare & Medicaid Services?

The Kristin Emily Moore has been issued the NPI (National Provider Identifier) 1154387801. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kristin Emily Moore's facilities are situated?

The facilities of Kristin Emily Moore are physically located at the following address: 8120 Rourk St, Myrtle Beach, SC, 295724127.

What is the area of specialization for Kristin Emily Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kristin Emily Moore is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Kristin Emily Moore receive the assignment of its 1154387801 from the Centers for Medicare & Medicaid Services?

The Kristin Emily Moore was issued its 1154387801 by the Centers for Medicare & Medicaid Services on 2006-04-21.

When was the information regarding Kristin Emily Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kristin Emily Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-29.

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