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Mr. Jimmie G Moore JR., PA-C
Medical Physician Assistant in Hattiesburg, Mississippi
NPI 1144255225

Jimmie G Moore JR. is a Medical Physician Assistant based in Hattiesburg, MS and is specialized in Medical. Jimmie G Moore JR. practices in Hattiesburg, MS and has the professional credentials of PA-C. The NPI Number for Jimmie G Moore JR. is 1144255225 and holds a License No. PA028 (Mississippi).

The current practice location address for Jimmie G Moore JR. is 3688 Veterans Memorial Dr, Hattiesburg, MS and can be reached out via phone at 601-554-7400 and via fax at 601-554-7488.

Location: 3688 Veterans Memorial Dr, Hattiesburg, MS, 39401-8246
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Provider Profile Details
NPI Number
1144255225
Provider Name
Jimmie G Moore JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3688 Veterans Memorial Dr, Hattiesburg, MS, 39401-8246
Phone Number
601-554-7400
Fax Number
601-554-7488
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02274715 05 MS
institution
Provider Business Practice Location Address Details
Address
3688 Veterans Memorial Dr
City
State
Zip
39401-8246
Phone Number
601-554-7400
Fax Number
601-554-7488
person
Provider Business Mailing Address Details
Address
3688 Veterans Memorial Dr
City
State
Zip
39401-8246
Phone Number
601-554-7400
Fax Number
601-554-7488
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA028 (Mississippi)
Definition
Definition to come...
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