Individual
DR. ANGELA A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3612 SOUTHLINKS CV, MEMPHIS, TN 38125-0758
(901) 748-1819
Mailing address
3612 SOUTHLINKS CV., MEMPHIS, TN 38125
(901) 748-1819
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36780
TN
208D00000X
General Practice Physician
36780A
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3878150
—
TN
Enumeration date
04/27/2006
Last updated
06/27/2017
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