Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edwin Taylor Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588247894

Dr. Edwin Taylor Moore, MD is an Internal Medicine in Charleston, South Carolina. Qualified in 2021, 5 years ago. Practices with 24 on Physicians of SC LLC, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charleston, SC

Additional practice locations (1)

  • 171 Ashley Ave, Charleston, SC 29425-0100 — (843) 792-2731

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 86304 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588247894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice 24 On Physicians Of Sc Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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