Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMONE SHARDAE MOORE M.D. (PEDIATRIC RESIDENT)
(228) 223-1634
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Mailing address
9057 FIRETOWER RD, PASS CHRISTIAN, MS 39571-9411
(228) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
04/12/2017
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