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Organization
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Active
Organization
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Active
Other names
I. T. Montgomery Elementary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORA CECELIA GOUGH-DAVIS (FNP)
(662) 754-3301
Entity
Organization
Contact information
Practice address
202 W MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9775
(662) 545-2420
Mailing address
202 W MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9775
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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