Individual
WILLIAM LEE MOFFATT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6005 PARK AVE, STE 309, MEMPHIS, TN 38119
(901) 682-5642
(901) 683-5527
Mailing address
6005 PARK AVE, STE 309, MEMPHIS, TN 38119
(901) 682-5642
(901) 683-5527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD8529
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200027315
RAILROAD MEDICARE
GA
Enumeration date
03/28/2006
Last updated
01/21/2010
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