Individual
DR. LOUIS J MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-2613
(662) 459-1159
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-2613
(662) 459-1159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10720
MS
207R00000X
Internal Medicine Physician
Primary
10720
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013505
—
MS
05
—
09012361
—
MS
05
—
09013096
—
MS
Enumeration date
02/06/2007
Last updated
04/21/2026
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