Organization
MUSCLE AND NERVE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN RATHER MOORE MD (PRESIDENT)
(601) 982-9826
Entity
Organization
Contact information
Practice address
971 LAKELAND DRIVE, SUITE 560, JACKSON, MS 39216
(601) 982-9826
(601) 982-9826
Mailing address
971 LAKELAND DRIVE, SUITE 560, JACKSON, MS 39216
(601) 982-9826
(601) 982-9535
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
18286
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530055
UNITED HEALTH CARE
—
05
—
06772854
—
MS
05
—
09014965
—
MS
01
—
130019995
RAILROAD MEDICARE
—
01
—
169058500
US DEPT OF LABOR
—
01
—
409393032
BCBS OF MS
MS
01
—
426159735B
BCBS OF MS
MS
01
—
DC2890
GROUP RAILROAD MEDICARE
—
01
—
P00159488
RAILROAD MEDICARE
—
Enumeration date
03/06/2007
Last updated
01/05/2023
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