Individual
JOHN REAGAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1909 MALLORY LN, STE 104, FRANKLIN, TN 37067-2830
(615) 771-7718
(615) 771-6889
Mailing address
1909 MALLORY LN, STE 104, FRANKLIN, TN 37067-2830
(615) 771-7718
(615) 771-6889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000019800
TN
Other
Enumeration date
09/22/2007
Last updated
09/22/2007
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