Individual
DR. WAYNE E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 ALBION ST, METROPOLITAN NASHVILLE GENERAL HOSPITAL EMERGENCY DEPT, NASHVILLE, TN 37208-2918
(615) 341-4000
(615) 837-4514
Mailing address
916 QUAIL VALLEY DR, BRENTWOOD, TN 37027-5806
(615) 566-6188
(615) 837-4514
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
26654
TN
208M00000X
Hospitalist Physician
26654
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3839393
—
TN
01
—
4090137
BCBS
TN
Enumeration date
08/30/2005
Last updated
10/05/2015
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