Individual
MICHAEL RADFORD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 271-6600
Mailing address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 271-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42039
TN
207Q00000X
Family Medicine Physician
P3205
TX
Other
Enumeration date
03/06/2007
Last updated
01/10/2022
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