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Miss Susan Renee Moore, ATC,MS,LAT
Specialist in Wesson, Mississippi
NPI 1881903896

Susan Renee Moore is a Specialist based in Wesson, MS. Susan Renee Moore practices in Wesson, MS and has the professional credentials of ATC,MS,LAT. The NPI Number for Susan Renee Moore is 1881903896 and holds a License No. AT0476 (Mississippi).

The current practice location address for Susan Renee Moore is 9030 Monticello Rd, Wesson, MS and can be reached out via phone at 601-668-2932.

Location: 9030 Monticello Rd, Wesson, MS, 39191-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881903896
Provider Name
Susan Renee Moore
Credential
ATC,MS,LAT
Provider Entity Type
Individual
Gender
Female
Address
9030 Monticello Rd, Wesson, MS, 39191-9027
Phone Number
601-668-2932
Fax Number
Provider Enumeration Date
09/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9030 Monticello Rd
City
Wesson
State
Mississippi
Zip
39191-9027
Phone Number
601-668-2932
Fax Number
person
Provider Business Mailing Address Details
Address
9030 Monticello Rd
City
Wesson
State
Mississippi
Zip
39191-9027
Phone Number
601-668-2932
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT0476 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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