Organization
PLASTIC SURGERY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REAGAN MOORE SR. MD (SOLE PROPERITOR)
(615) 771-7718
Entity
Organization
Contact information
Practice address
1909 MALLORY LN, FRANKLIN, TN 37067-2830
(615) 771-7718
(615) 771-6889
Mailing address
1909 MALLORY LN, FRANKLIN, TN 37067-2830
(615) 771-7718
(615) 771-6889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000019800
TN
Other
Enumeration date
02/01/2007
Last updated
12/08/2008
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