Individual
SYLVIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2113 S TATE ST, CORINTH, MS 38834-7912
(662) 331-1497
Mailing address
12 COUNTY ROAD 185, CORINTH, MS 38834-7594
(662) 808-0068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904377
MS
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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