Individual
THOMAS JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1317 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2720
(606) 620-4153
(606) 523-3895
Mailing address
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906-7363
(606) 545-4460
(606) 545-4469
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
22596
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503392
BCBS OF KY
KY
05
—
6422596400
—
KY
Enumeration date
10/19/2006
Last updated
07/29/2021
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