| Hollie Moffatt Pmhnp-bc Llc | |
|
315 Magazine St Ste C Tupelo MS 38804-4802 | |
| (662) 350-0760 | |
| Not Available |
| Full Name | Hollie Moffatt Pmhnp-bc Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 315 Magazine St Ste C, Tupelo, Mississippi |
| Authorized Official Name and Position | Hollie Moffatt (OWNER) |
| Authorized Official Contact | 6623500760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollie Moffatt Pmhnp-bc Llc 315 Magazine St Ste C Tupelo MS 38804-4802 Ph: (662) 350-0760 | Hollie Moffatt Pmhnp-bc Llc 315 Magazine St Ste C Tupelo MS 38804-4802 Ph: (662) 350-0760 |
| NPI Number | 1790360287 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790360287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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