Individual
DR. DEBBIE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, LAC
Contact information
Practice address
6682 HIGHWAY 11 N, SUITE 103, CARRIERE, MS 39426-7554
(601) 749-4939
(769) 301-1641
Mailing address
PO BOX 326, PICAYUNE, MS 39466-0326
(601) 749-4939
(601) 748-3818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1118
MS
111N00000X
Chiropractor
1437
LA
111N00000X
Chiropractor
1878
LA
111NR0400X
Rehabilitation Chiropractor
000118
MS
111NR0400X
Rehabilitation Chiropractor
1437
LA
171100000X
Acupuncturist
AC0003
MS
171100000X
Acupuncturist
AC00720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09088559
—
MS
Enumeration date
01/03/2007
Last updated
05/15/2023
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