David Carson Moore
David Carson Moore is a Physician Assistant in Boiling Springs, South Carolina. Qualified in 2019, 7 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 7
- Licensed in
- SC
- In the registry since
- 2019
- Specialties on file
- 5
Practice location Address checks out
316 Village Creek DrBoiling Springs, SC 29316-5387
Phone: (864) 327-9003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Adolescent Medicine (Family Medicine) Physician | Taxonomy 207QA0000X · Licence MPA3438 (SC) |
| Pediatrics Physician | Taxonomy 208000000X · Licence MPA3438 (SC) |
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X · Licence MPA3438 (SC) |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1942859483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 7, 2019 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 30, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Cep America Llc — 985 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Boiling Springs
-
Carolina Children's Clinic, LLC
316 Village Creek Dr, Boiling Springs, SC 29316-5387 · (864) 327-9003