NPI 1245293828

Olyn Fred Moore, MD

Practitioner Surgery Physician Dyersburg, TN

Practice location

Address: 503 Tickle Street, Dyersburg, TN 38024
Phone: (731) 285-5244
Fax: (731) 285-8970
Mailing address: 503 Tickle Street Suite #1, Dyersburg, TN 38024

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD012164 (TN)

Other Surgery providers in Tennessee →

Registry record

NPI: 1245293828
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2006
Record last updated: 31 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.