Individual
ALGIANON MOSES JEFFERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-1121
(865) 291-3228
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3123825
BCBS OF TENNESSEE
TN
05
—
3810597
—
TN
01
—
P00396558
RAILROAD MEDICARE
TN
Enumeration date
06/22/2006
Last updated
11/16/2007
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