Individual
STEPHEN J MOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 MEDICAL CENTER PKWY, SUITE 200, MURFREESBORO, TN 37129-2567
(615) 896-6800
(615) 695-1483
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2862
TN
363A00000X
Physician Assistant
PA2682
TN
363AM0700X
Medical Physician Assistant
2682
TN
363AS0400X
Surgical Physician Assistant
2682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010356
—
TN
Enumeration date
12/28/2005
Last updated
10/13/2023
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