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NPI Profile for BETHENY MOORE in JOHNSON CITY, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetric, Inpatient |
163WX0003X |
| NPI Number | 1912844283 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/04/2026 | |
| Last updated | 05/04/2026 - About a month ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BETHENY MOORE
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BETHENY MOORE