Individual
DR. WILLIAM R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040
(931) 245-8400
(931) 245-8465
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043
(931) 245-7092
(931) 245-7069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q004449
—
TN
Enumeration date
11/11/2005
Last updated
11/06/2018
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