Individual
JOHN MATTHEW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 DOWELL SPRINGS BLVD, SUITE 300, KNOXVILLE, TN 37909-2454
(865) 588-5121
Mailing address
801 N WEISGARBER RD, SUITE 100, KNOXVILLE, TN 37909-2706
(865) 588-5121
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD46682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008677
—
TN
Enumeration date
04/10/2008
Last updated
05/05/2017
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