Individual
JEFFREY S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 N CEDAR AVE, SUITE A, COOKEVILLE, TN 38501-2498
(931) 528-1992
(931) 526-3694
Mailing address
203 N CEDAR AVE, SUITE A, COOKEVILLE, TN 38501-2498
(931) 528-1992
(931) 526-3694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43001
TN
Other
Enumeration date
09/04/2007
Last updated
02/12/2010
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