Individual
DOROTHY M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEMAKER
Contact information
Practice address
2211 HIGHWAY 45 N STE G2211, MERIDIAN, MS 39301-2730
(601) 616-0551
(601) 282-5009
Mailing address
2211 HIGHWAY 45 N STE G2211, MERIDIAN, MS 39301-2730
(601) 616-0551
(601) 282-5009
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
BL20190001274
MS
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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