Individual
MICHAEL HOWARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10820 PARKSIDE DR, KNOXVILLE, TN 37934-1956
(865) 218-7011
Mailing address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 331-2278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216342
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
32660
TN
Other
Enumeration date
06/15/2022
Last updated
10/05/2022
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