Individual
DR. DWIGHT MELVYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1264 WESLEY DR, STE 402, MEMPHIS, TN 38116-6400
(901) 396-5577
(901) 396-5585
Mailing address
1264 WESLEY DR, STE 402, MEMPHIS, TN 38116-6400
(901) 396-5577
(901) 396-5585
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207V0000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3197960
—
TN
Enumeration date
09/26/2006
Last updated
07/08/2007
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