Individual
ALLEN RYVES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BAPTIST MEMORIAL CIR STE 330, OXFORD, MS 38655-4477
(662) 767-4200
(662) 767-4204
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
(627) 674-2046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26559
MS
207X00000X
Orthopaedic Surgery Physician
MD.36865
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2013
Last updated
09/16/2020
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