person
Benjamin C Moore, MD
Obstetrics & Gynecology Physician in Hattiesburg, Mississippi
NPI 1518131754

Benjamin C Moore is a Obstetrics & Gynecology Physician based in Hattiesburg, MS. Benjamin C Moore practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Benjamin C Moore is 1518131754 and holds a License No. 21901 (Mississippi).

The current practice location address for Benjamin C Moore is 421 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-268-5640 and via fax at 601-261-3507. You can also correspond with Benjamin C Moore through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-268-5640).

Location: 421 S 28Th Ave, Hattiesburg, MS, 39401-7246
person
Provider Profile Details
NPI Number
1518131754
Provider Name
Benjamin C Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
421 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5640
Fax Number
601-261-3507
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9496951 01 MS AETNA
04456312 05 MS
3493860 01 MS UNITED HEALTHCARE
4738806 01 MS CIGNA
6060931 01 MS HEALTHSPRING
institution
Provider Business Practice Location Address Details
Address
421 S 28Th Ave
City
State
Zip
39401-7206
Phone Number
601-268-5640
Fax Number
601-261-3507
person
Provider Business Mailing Address Details
Address
421 S 28Th Ave
City
State
Zip
39401-7206
Phone Number
601-268-5640
Fax Number
601-261-3507
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
21901 (Mississippi)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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