Individual
TONY MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4381 S EASON BLVD STE 302, TUPELO, MS 38801-6584
(662) 377-5700
Mailing address
4381 S EASON BLVD STE 302, TUPELO, MS 38801-6584
(662) 377-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902126
MS
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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