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Organization
MOORE MEDICAL CLINIC LLC
Active
Organization
MOORE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS PARK MOORE DNP (DNP/ OWNER)
(731) 617-1883
Entity
Organization
Contact information
Practice address
600 MAIN ST, FRIENDSHIP, TN 38034-1999
(731) 677-3400
(731) 677-3402
Mailing address
600 MAIN ST, P. O. BOX 41, FRIENDSHIP, TN 38034-1999
(731) 677-3400
(731) 677-3402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16606
TN
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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