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NPI Verification

National Provider Identifier: 1659103083

Jacob Brooks Moore, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Urology

Code: 208800000X

Practice Address

53 NICHOLAS CV

OXFORD, AL 362033530

Phone: 256-914-9700

NPI Enumeration Date

August 15, 2024

NPI Number

1659103083

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
Jacob Moore, PA-C - NPI 1659103083 | Provider Verification | HormoneMap