Smith, Bill Moore
Smith, Bill Moore is an individual health care provider with primary practice located at 632 Morrison Springs Road Suite #202, Chattanooga TN 37415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Smith, Bill Moore can be contacted via phone (423) 778-3390.Contact Information
Primary practice address
632 Morrison Springs Road Suite #202
Chattanooga TN 37415
Phone: (423) 778-3390
Fax: (423) 778-3391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 20573 | Tennessee |
Profile Details
| NPI number | 1003881061 |
|---|---|
| LBN Legal business name | Smith, Bill Moore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 3rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003881061 | NPPES |
| Tennessee | MEDICAID | 1522960 |
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