Individual
JOEL M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
154 CUDE LN, MADISON, TN 37115-2202
(615) 865-6268
(615) 868-7378
Mailing address
154 CUDE LN, MADISON, TN 37115-2202
(615) 865-6268
(615) 868-7378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13847
TN
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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