Individual
BRANDY LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 HUNTERS LN STE 100, TULLAHOMA, TN 37388-8264
(931) 247-2253
Mailing address
100 HUNTERS LN STE 100, TULLAHOMA, TN 37388-8264
(931) 247-2253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11137
TN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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