Making Moves in the Community, Incorporated
NPI #1851884266 in Shaw, Mississippi
Provider Information
- NPI Number
- 1851884266
- Entity Type
- Organization
- Organization Name
- Making Moves in the Community, Incorporated
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 11, 2018
- Last Updated
- Jan 12, 2021
Practice Location
- Address
- 112 EAST PEELER AVE
- City
- Shaw
- State
- Mississippi
- ZIP Code
- 38773
- Phone
- (662) 402-1138
Authorized Official
- Name
- NORA GOUGH-DAVIS, NP
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (662) 754-3301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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|---|---|
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