Moore, Colton Ray
Moore, Colton Ray is an sole proprietor health care provider with primary practice located at 1720 E Reelfoot Ave Ste 200 , Union City TN 38261-6049. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moore, Colton Ray can be contacted via phone (901) 350-0978.Contact Information
Primary practice address
1720 E Reelfoot Ave Ste 200
Union City TN 38261-6049
Phone: (901) 350-0978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 27851 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27851 | Tennessee |
Profile Details
| NPI number | 1821607052 |
|---|---|
| LBN Legal business name | Moore, Colton Ray |
| Credentials | APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Mar 8th, 2024 - about last year |
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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