MR. Frederick Earl Moore JR.

NPI #1396551842 in Greenwood, Mississippi

Provider Information

NPI Number
1396551842
Entity Type
Individual
Name
MR. Frederick Earl Moore JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Dec 9, 2024
Last Updated
Dec 9, 2024

Practice Location

Address
907 MISSISSIPPI AVE
ZIP Code
38930-5220
Phone
(662) 458-1982

Specialties & Taxonomy Codes

Specialty
Contractor
Durable Medical Equipment & Medical Supplies
Transportation Broker
Non-emergency Medical Transport (VAN)

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