Joseph S Moak Jr MD PA

NPI #1043639289 in Brookhaven, Mississippi

Provider Information

NPI Number: 1043639289
Entity Type: Organization
Organization Name: Joseph S Moak Jr MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Apr 15, 2014
Last Updated: May 30, 2014

Practice Location

Address: 1040 BIGLANE DRIVE
City: Brookhaven
State: Mississippi
ZIP Code: 39601
Phone: (601) 833-5051

Authorized Official

Name: MRS. ANTHA R. RESTIVO
Title: OFFICE MANAGER
Phone: (601) 833-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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