Individual
DR. ERIC DAVID MOFFET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 BROOKSIDE DR, SUITE 15, KINGSPORT, TN 37660
(423) 392-6500
(423) 392-6504
Mailing address
1920 BROOKSIDE DR, SUITE 15, KINGSPORT, TN 37660
(423) 392-6500
(423) 392-6504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD020620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105831
BCBS TN
TN
01
—
069099
BCBS VA
VA
05
—
3052859
—
TN
Enumeration date
08/26/2006
Last updated
07/09/2008
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