SearchMississippi251E00000X

Anna Moore

NPI 1538789904 · on the registry since 2020 · sole proprietor

Practice

Address
769 Burton Ln
Southaven, MS 38671
Phone
(662) 772-8807

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi