Individual provider · Type 1 NPI

Olivia Nicole Moore

Physician Assistant · Columbia, SC

NPI number 1104513589 Active

Practice location

1333 Taylor St Ste 6F
Columbia, SC 29201-2953

Call (803) 296-3273 Map

Fax (803) 296-7061

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X4894 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104513589

Olivia Nicole Moore's National Provider Identifier is 1104513589, issued on Apr 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, SC. The record was last updated on Jun 28, 2023.