| Claudia Lafaye Moore, PA | |
|
1668 W Peace St, Canton, MS 39046-5332 | |
| (601) 859-5213 | |
| (601) 859-8771 |
| Full Name | Claudia Lafaye Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1668 W Peace St, Canton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275719726 | NPI | - | NPPES |
| 03030532 | Medicaid | MS | |
| TPA0015 | Other | MS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TPA0015 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Claudia Lafaye Moore, PA Po Box 588, Canton, MS 39046-0588 Ph: (601) 859-5213 | Claudia Lafaye Moore, PA 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213 |
Mr. Percy L Smith Jr., PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1883 Hwy 43 South, Suite D, Canton, MS 39046 Phone: 601-859-8992 Fax: 601-859-7642 | |
Gabriel Martin Ibarra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Southlake Cir, Canton, MS 39046 Phone: 601-859-8550 Fax: 601-859-8556 | |
Mary Barrack Biddy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 103 Keating Cir, Canton, MS 39046 Phone: 985-705-3754 Fax: 985-705-3754 |