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Moscow Family Medical,llc
Family Nurse Practitioner in Moscow, Tennessee
NPI 1548828304

Moscow Family Medical,llc is a Family Nurse Practitioner based in Moscow, TN and is specialized in Family. Moscow Family Medical,llc practices in Moscow, TN. The NPI Number for Moscow Family Medical,llc is 1548828304 and holds a License No. (Tennessee).

The current practice location address for Moscow Family Medical,llc is 13775 Highway 57 Ste 4, Moscow, TN and can be reached out via phone at 901-877-3070.

Location: 13775 Highway 57 Ste 4, Moscow, TN, 38057-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548828304
Provider Name
Moscow Family Medical,llc
Credential
Provider Entity Type
Organization
Address
13775 Highway 57 Ste 4, Moscow, TN, 38057-3802
Phone Number
901-877-3070
Fax Number
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13775 Highway 57 Ste 4
City
Moscow
State
Tennessee
Zip
38057-3802
Phone Number
901-877-3070
Fax Number
person
Provider Business Mailing Address Details
Address
13775 Highway 57 Ste 4
City
Moscow
State
Tennessee
Zip
38057-3802
Phone Number
901-877-3070
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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