Melissa Moore
NPI #1568778355 in Fulton, Mississippi
Provider Information
- NPI Number
- 1568778355
- Entity Type
- Individual
- Name
- Melissa Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 31, 2010
- Last Updated
- Aug 31, 2010
Practice Location
- Address
- 6995 DORSEY EVERGREEN RD
- City
- Fulton
- State
- Mississippi
- ZIP Code
- 38843-7743
- Phone
- (662) 397-0202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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