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Organization
MOORE MEDICAL CLINIC INC
Active
Organization
MOORE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MOORE NP (PRESIDENT)
(615) 896-4482
Entity
Organization
Contact information
Practice address
490 SAINT ANDREWS DR, SUITE 106, MURFREESBORO, TN 37128-6578
(615) 896-4482
(615) 896-4472
Mailing address
490 SAINT ANDREWS DR, SUITE 106, MURFREESBORO, TN 37128-6578
(615) 896-4482
(615) 896-4472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7533
TN
363LG0600X
Gerontology Nurse Practitioner
7885
TN
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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