Moore Healthy Family Medical Clinic, LLC
NPI #1205137304 in Jackson, Mississippi
Provider Information
- NPI Number
- 1205137304
- Entity Type
- Organization
- Organization Name
- Moore Healthy Family Medical Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 6, 2010
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 5604 OLD CANTON RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-4217
- Phone
- (601) 991-1044
Authorized Official
- Name
- DR. ROBERT L MOORE, MD
- Title
- OWNER
- Phone
- (601) 307-2450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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