MR. Jeffrey Glenn Moore, ATC
NPI #1578533790 in University, Mississippi
Provider Information
- NPI Number
- 1578533790
- Entity Type
- Individual
- Name
- MR. Jeffrey Glenn Moore, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- ROOM 118 FIELDHOUSE
- Address 2
- ALL AMERICAN DRIVE
- City
- University
- State
- Mississippi
- ZIP Code
- 38677
- Phone
- (662) 915-7536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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