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NPI Verification

National Provider Identifier: 1801058821

Charles Robert Moore, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

139 FAIRFIELD DR

HATTIESBURG, MS 394021303

Phone: 601-450-2417

NPI Enumeration Date

June 30, 2008

NPI Number

1801058821

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