Individual
EARNEST DARREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
619 S 8TH ST STE 302, GRIFFIN, GA 30224-4260
(888) 408-0200
(888) 505-6721
Mailing address
7288 SNAPDRAGON LN, OOLTEWAH, TN 37363-6579
(423) 304-0247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN11360
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN108827
GA
367500000X
Certified Registered Nurse Anesthetist
RN136019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633795
—
TN
01
—
4092278
BCBS
TN
Enumeration date
02/28/2006
Last updated
12/10/2025
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