Individual
DR. ALAN RATHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR, SUITE 560 MUSCLE AND NERVE PA, JACKSON, MS 39216-4607
(601) 982-9826
(601) 982-9535
Mailing address
971 LAKELAND DR, SUITE 560, JACKSON, MS 39216-4607
(601) 982-9826
(601) 982-9535
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18286
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06772854
—
MS
05
—
09014965
—
MS
01
—
DC2890
RAILROAD MEDICARE
—
01
—
P00159488
RAILROAD MEDICARE
—
Enumeration date
09/22/2006
Last updated
07/09/2007
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