Individual
DR. LAURA ELLEN MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Mailing address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
37192
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000037192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886391
—
TN
Enumeration date
07/22/2006
Last updated
06/11/2010
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