Individual
DR. TERRY ANTHONY MORAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1407 S MAIN ST, POPLARVILLE, MS 39470-3369
(601) 795-0659
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 795-0659
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27169
MS
207Q00000X
Family Medicine Physician
Primary
27169
MS
207Q00000X
Family Medicine Physician
320935
LA
Other
Enumeration date
03/20/2018
Last updated
11/16/2022
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