Angela Moore, MAED

NPI #1962631317 in Jackson, Tennessee

Provider Information

NPI Number: 1962631317
Entity Type: Individual
Name: Angela Moore, MAED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MAED
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 47 MURRAY GUARD DR STE B
City: Jackson
State: Tennessee
ZIP Code: 38305-3765
Phone: (731) 668-0881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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