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Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMONE SHARDAE MOORE M.D. (PEDIATRIC RESIDENT)
(228) 223-1634
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Mailing address
9057 FIRETOWER RD, PASS CHRISTIAN, MS 39571-9411
(228) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
04/12/2017
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