DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NORMAN BLAKE MOORE JR., CRNA

Active Sole Proprietor

Certified Nurse Anesthetist (CRNA) · WEST COLUMBIA, SC

Registration Details

NPI Number
1225030372
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2005 (20.888511345486 yrs)
Last Updated
Jun 19, 2024
Licenses
1-090700 (AL)
901401 (MS)
26371 (SC)
Sole Proprietor
Yes

Practice Information

Address
2720 SUNSET BLVD
WEST COLUMBIA, SC, 291694810
Browse SC providers · Browse ZIP 29169
Phone
8039358538
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in WEST COLUMBIA, SC

Name Credential NPI
MR. WILLIAM M LUCE CRNA 1992708614
CHERIE ANNE BURKE CRNA 1427052232
TIMOTHY L KELLY CRNA 1770567836
MRS. ALESIA DENISE RICKS CRNA 1558340216
DENISE RENEE CAREY CRNA 1548233224
RACHELLE DYESS MCLEES CRNA 1164496550
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.