Individual
GEORGANNA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2580 JACKSON AVE W STE 44, OXFORD, MS 38655-5497
(662) 234-9112
(662) 234-9058
Mailing address
2580 JACKSON AVE W STE 44, OXFORD, MS 38655-5497
(662) 234-9112
(662) 234-9058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905528
MS
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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