Individual
JAMES EDWARD MOORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4812 OVERCREST DR, NASHVILLE, TN 37211-4709
(615) 927-7029
Mailing address
4812 OVERCREST DR, NASHVILLE, TN 37211-4709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1367
TN
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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