# THE MOORE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912177197
- **Authorized official:** RAFAEL MARIO SANCHEZ D.O. (CHIEF MANAGER)
- **Authorized official phone:** (731) 414-1618

## Contact information

- **Practice address:** 1709 S COLLEGE ST, TRENTON, TN 38382-3908
- **Practice address phone:** (731) 855-2080
- **Mailing address:** 1709 S COLLEGE ST, TRENTON, TN 38382-3908
- **Mailing address phone:** (731) 855-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/06/2008