Individual
JEREMIAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE STE 402, CHATTANOOGA, TN 37404-3231
(423) 698-3309
Mailing address
2341 MCCALLIE AVE STE 402, CHATTANOOGA, TN 37404-3231
(423) 698-3309
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20439
TN
Other
Enumeration date
08/05/2015
Last updated
10/15/2015
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