Individual
MISS MELISSA DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C, CST
Contact information
Practice address
2000 CHURCH ST, NASHVILLE, TN 37236-0001
(615) 284-5215
Mailing address
140 LUNA LN, HENDERSONVILLE, TN 37075-4425
(615) 264-1066
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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