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Individual

BETHENY MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-9394
Mailing address
217 JONESBORO DR, BLUFF CITY, TN 37618-2719

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
260539
TN

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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