Individual
MR. TROY EUGENE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9520
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9520
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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