Individual
DR. JAMES LOVE MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, SUITE 600, JACKSON, MS 39202-1651
(601) 948-6540
(601) 326-1501
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
12526
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120175
—
MS
Enumeration date
05/31/2006
Last updated
03/27/2018
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