National Provider Identifier Database

O FRED MOORE III MD PC
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.


Contact Information

O FRED MOORE III MD PC
503 TICKLE STREET
DYERSBURG, TN38024
Phone: 731-285-5244
Fax: 731-285-5244
Website:
Specialty Taxonomy Code
* Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for O FRED MOORE III MD PC

NPI Number 1720208242
Legal business name
LBN
O FRED MOORE III MD PC
Authorized official OLYN MOORE - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart No
Enumeration date 04/26/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3384206

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.

Reviews for O FRED MOORE III MD PC

There are currently no reviews for O FRED MOORE III MD PC


NPIdb - Home
v2.201