Individual
MRS. SHELBY LAUREN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027
(615) 345-5400
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912171760
GROUP NPI
—
Enumeration date
05/14/2015
Last updated
10/25/2022
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