Individual
DR. GRACE Q MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 21ST AVE S # 114, NASHVILLE, TN 37212-2704
(615) 873-7810
(615) 873-8321
Mailing address
1310 24TH AVE S # 114, NASHVILLE, TN 37212-2637
(615) 873-7810
(615) 873-8321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34116
TN
2085R0202X
Diagnostic Radiology Physician
ME0081317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721492
—
TN
05
—
3882203
—
TN
Enumeration date
12/06/2005
Last updated
10/29/2018
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