Individual provider · Type 1 NPI

Samantha Moore, MD

Student in an Organized Health Care Education/Training Program · Summerville, SC

NPI number 1023710894 Active

Practice location

295 Midland Pkwy, Medical Office Building Ste. 140
Summerville, SC 29485

Mailing address

9330 Medical Plaza Dr
North Charleston, SC 29406-9104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023710894

Samantha Moore, MD's National Provider Identifier is 1023710894, issued on Mar 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Summerville, SC. The record was last updated on Mar 21, 2023.