Provider Demographics
NPI:1114348745
Name:MOORE, SHARON WYATT (MD, MBA, MPH)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:WYATT
Last Name:MOORE
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Gender:F
Credentials:MD, MBA, MPH
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Mailing Address - Street 1:1241 VOLUNTEER PKWY
Mailing Address - Street 2:SUITE 950
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-4659
Mailing Address - Country:US
Mailing Address - Phone:423-968-9533
Mailing Address - Fax:423-968-3567
Practice Address - Street 1:1241 VOLUNTEER PKWY
Practice Address - Street 2:SUITE 950
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-4659
Practice Address - Country:US
Practice Address - Phone:423-968-9533
Practice Address - Fax:423-968-3567
Is Sole Proprietor?:No
Enumeration Date:2013-12-28
Last Update Date:2013-12-28
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Provider Licenses
StateLicense IDTaxonomies
TNMD179782083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine