Organization
MOORE LIFE ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE E MOORE MD (PRESIDENT)
(615) 837-3445
Entity
Organization
Contact information
Practice address
1412 COUNTY HOSPITAL RD, NASHVILLE, TN 37218-3007
(615) 364-4158
(615) 837-3445
Mailing address
916 QUAIL VALLEY DR, BRENTWOOD, TN 37027-5806
(615) 364-4158
(615) 837-3445
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724343
—
TN
Enumeration date
08/30/2005
Last updated
08/22/2020
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