| Moore Healthy Family Medical Clinic, Llc | |
|
5604 Old Canton Rd Jackson MS 39211-4217 | |
| (601) 991-1044 | |
| (601) 991-9868 |
| Full Name | Moore Healthy Family Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5604 Old Canton Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Robert L Moore (OWNER) |
| Authorized Official Contact | 6013072450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Healthy Family Medical Clinic, Llc 5604 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 991-1044 | Moore Healthy Family Medical Clinic, Llc 5604 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 991-1044 |
| NPI Number | 1205137304 |
|---|---|
| Provider Enumeration Date | 11/06/2010 |
| Last Update Date | 04/18/2013 |
| Medicare PECOS PAC ID | 6103007984 |
|---|---|
| Medicare Enrollment ID | O20110228000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205137304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MS18036 (Mississippi) | Primary |
| Provider Name | Robert L Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841281276 PECOS PAC ID: 8729110317 Enrollment ID: I20100716000694 |
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