Organization
MOORE HEALTHY FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L MOORE MD (OWNER)
(601) 307-2450
Entity
Organization
Contact information
Practice address
5604 OLD CANTON RD, JACKSON, MS 39211-4217
(601) 991-1044
(601) 991-9868
Mailing address
5604 OLD CANTON RD, JACKSON, MS 39211-4217
(601) 991-1044
(601) 991-9868
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MS18036
MS
Other
Enumeration date
11/06/2010
Last updated
04/18/2013
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