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NPI Code Detail

MEDICARE: DR. WAYNE E MOORE MD

MEDICARE: DR. WAYNE E MOORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician26654TN
2208M00000XHospitalist Physician26654TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14090137OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821081472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE E MOORE MD
Provider Business Mailing Address
First Line : 916 QUAIL VALLEY DR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5806
Country : US
Telephone Number : 615-566-6188
Fax Number : 615-837-4514
Provider Business Practice Location Address
First Line : 1818 ALBION ST
Second Line : METROPOLITAN NASHVILLE GENERAL HOSPITAL EMERGENCY DEPT
City : NASHVILLE
State : TN
Zip : 37208-2918
Country : US
Telephone Number : 615-341-4000
Fax Number : 615-837-4514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 10/05/2015

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Directions to “ DR. WAYNE E MOORE MD” Practice Location

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