Individual
ANGELA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
47 MURRAY GUARD DR STE B, JACKSON, TN 38305-3765
(731) 668-0881
(731) 668-0884
Mailing address
47 MURRAY GUARD DR STE B, JACKSON, TN 38305-3765
(731) 668-0881
(731) 668-0884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5514445
TN
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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