Timothy Moore

NPI #1740688308 in Batesville, Mississippi

Provider Information

NPI Number
1740688308
Entity Type
Individual
Name
Timothy Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Dec 15, 2014
Last Updated
Dec 15, 2014

Practice Location

Address
120 RANDY HENDRIX DR
ZIP Code
38606-7664
Phone
(662) 563-9176

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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