Individual
DR. STEVEN RAY MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7557 DANNAHER WAY, SUITE 140, POWELL, TN 37849-3558
(865) 673-9250
(865) 859-7368
Mailing address
7557 DANNAHER WAY, SUITE 140, POWELL, TN 37849-3558
(865) 673-9250
(865) 859-7368
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD0000012333
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4280579
BCBST
TN
Enumeration date
08/15/2005
Last updated
03/25/2011
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