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Individual

MR. COLTON RAY MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(901) 350-0978
Mailing address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(901) 350-0978
(901) 350-0677

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27851
TN
363LF0000X
Family Nurse Practitioner
27851
TN

Other

Enumeration date
07/23/2020
Last updated
03/08/2024
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