Moore, Angela A

Moore, Angela A is an sole proprietor health care provider with primary practice located at 3612 Southlinks Cv , Memphis TN 38125-0758. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Moore, Angela A can be contacted via phone (901) 748-1819.

Contact Information

Primary practice address
3612 Southlinks Cv Memphis TN 38125-0758
Phone: (901) 748-1819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 36780A Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36780 Tennessee

Profile Details

NPI number 1699732339
LBN Legal business name Moore, Angela A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jun 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699732339 NPPES
Tennessee MEDICAID 3878150

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