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Contact Information

SAMUEL A MOORE, MD
501 20TH ST
STE 503
KNOXVILLE, TN37916-1809
 Phone: 865-541-4321
 Fax: 865-541-4320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SAMUEL A MOORE · (Male)

NPI # 1467684621
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2009
Last updated 12/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 51204
  • MN Medicaid ENROLLED
  • TN Medicaid Q006336
Hospital affiliation(s)
  • FORT LOUDOUN MEDICAL CENTER - (Acute Care)
    550 FORT LOUDOUN MEDICAL CENTER DR
    LENOIR CITY, TN 37772
  • FORT SANDERS REGIONAL MEDICAL CENTER - (Acute Care)
    1901 W CLINCH AVE
    KNOXVILLE, TN 37916
  • LECONTE MEDICAL CENTER - (Acute Care)
    742 MIDDLECREEK ROAD
    SEVIERVILLE, TN 37862
  • MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION - (Acute Care)
    908 W 4TH NORTH ST
    MORRISTOWN, TN 37814
  • ROANE MEDICAL CENTER - (Acute Care)
    8045 ROANE MEDICAL CENTER DRIVE
    HARRIMAN, TN 37748
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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