| Hugh S. Moore, M.d., P.a. | |
|
748 E Fifteenth St Yazoo City MS 39194-2706 | |
| (662) 746-9818 | |
| (662) 746-2026 |
| Full Name | Hugh S. Moore, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 748 E Fifteenth St, Yazoo City, Mississippi |
| Authorized Official Name and Position | Hugh Scott Moore (PRESIDENT) |
| Authorized Official Contact | 6627469818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugh S. Moore, M.d., P.a. 748 E Fifteenth St Yazoo City MS 39194-2706 Ph: (662) 746-9818 | Hugh S. Moore, M.d., P.a. 748 E Fifteenth St Yazoo City MS 39194-2706 Ph: (662) 746-9818 |
| NPI Number | 1477669190 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477669190 | NPI | - | NPPES |
| 09016034 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17042 (Mississippi) | Primary |
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