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Organization
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Active
Organization
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Active
Other names
Northside Hight School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORA CECELIA GOUGH-DAVIS (FNP)
(662) 754-3301
Entity
Organization
Contact information
Practice address
1305 MARTIN LUTHER KING, SHELBY, MS 38774-2229
(662) 402-1098
Mailing address
1305 MARTIN LUTHER KING, SHELBY, MS 38774-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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