DR. Wilson E Moak, MD

NPI #1184629818 in Jackson, Mississippi

Provider Information

NPI Number: 1184629818
Entity Type: Individual
Name: DR. Wilson E Moak, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jun 17, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 1190 N STATE ST
Address 2: STE 403
City: Jackson
State: Mississippi
ZIP Code: 39202-2413
Phone: (601) 353-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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