Individual
MR. ROBERT HUNTER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1713 MAPLE ST, CLEVELAND, MS 38733
(662) 846-4563
Mailing address
1502 COLLEGE ST, CLEVELAND, MS 38732-2925
(662) 846-4563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0333
MS
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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