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
Fax: (423) 778-3391
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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 1003881061 NPPES
Tennessee MEDICAID 1522960

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