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NPI Verification

National Provider Identifier: 1063824688

John Moore

Individual Provider

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Urology

Code: 208800000X

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

415 S 28TH AVE

HATTIESBURG, MS 394017246

Phone: 601-268-5888

NPI Enumeration Date

June 2, 2014

NPI Number

1063824688

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
John Moore - NPI 1063824688 | Provider Verification | HormoneMap