# JOHN DAVIS MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164491379
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP3000X | Pediatric Anesthesiology Physician | 58651 | TN | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 88397 | SC | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | A119480 | CA | — |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 09/22/2022