Individual
DR. PAUL HAROLD MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 762-1353
(228) 762-1359
Mailing address
1365 MARKET ST, PASCAGOULA, MS 39567-6604
(228) 762-1353
(228) 762-1359
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116335
—
MS
05
—
009300150
—
AL
01
—
RD55061
UNITEDHEALTH CARE
—
Enumeration date
07/20/2006
Last updated
04/14/2014
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