Individual
DR. JOHN L MORIARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
Mailing address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
17703
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126743
—
MS
01
—
140008066
RAILROAD MEDICARE
MS
01
—
602027
UHC
MS
01
—
7709204
AETNA
MS
Enumeration date
05/25/2006
Last updated
10/07/2009
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