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Individual
SAMUEL ARTHUR MOORE
Active
Individual
SAMUEL ARTHUR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
51204
TN
2084N0400X
Neurology Physician
51204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
05
—
Q006336
—
TN
Enumeration date
08/20/2009
Last updated
12/17/2024
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