Individual
DR. MITCHELL CRAIG MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
49 TURNER ST, MABEN, MS 39750-9157
(662) 397-7647
Mailing address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25953
MS
Other
Enumeration date
06/30/2017
Last updated
08/02/2024
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