# MAKING MOVES IN THE COMMUNITY, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Hight School Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154038636
- **Authorized official:** NORA CECELIA GOUGH-DAVIS (FNP)
- **Authorized official phone:** (662) 754-3301

## Contact information

- **Practice address:** 1305 MARTIN LUTHER KING, SHELBY, MS 38774-2229
- **Practice address phone:** (662) 402-1098
- **Mailing address:** 1305 MARTIN LUTHER KING, SHELBY, MS 38774-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/03/2022