Individual
JOSEPH P MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 992-4086
Mailing address
1194 MIMOSA CT, LEBANON, TN 37087-1728
(615) 992-4086
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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