Individual provider · Type 1 NPI

Octavia Moore, NP

Primary Care Nurse Practitioner · Columbia, SC

NPI number 1811360613 Active

Practice location

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Call (803) 776-4000 Map

Other practice locations

  • 6439 Garners Ferry Rd, Columbia, SC 29209-1638 · (803) 776-4000

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X19732 (SC)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1811360613

Octavia Moore, NP's National Provider Identifier is 1811360613, issued on Nov 3, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbia, SC. The record was last updated on Sep 28, 2020.