Organization
SOLACE THERAPEUTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ANN MOORE NP (OWNER)
(865) 773-0285
Entity
Organization
Contact information
Practice address
11606 CHAPMAN HWY STE 3, SEYMOUR, TN 37865-5270
(865) 773-0285
(865) 773-0335
Mailing address
11606 CHAPMAN HWY STE 3, SEYMOUR, TN 37865-5270
(865) 773-0285
(865) 773-0335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14396
TN
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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