Individual
SAMUEL ARTHUR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST, STE 503, KNOXVILLE, TN 37916-1809
(865) 541-4321
(865) 541-4320
Mailing address
501 20TH ST, STE 503, KNOXVILLE, TN 37916-1809
(865) 541-4321
(865) 541-4320
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
51204
TN
2084N0400X
Neurology Physician
51204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
05
—
Q006336
—
TN
Enumeration date
08/20/2009
Last updated
12/17/2024
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