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Melissa Moore
NPI 1568778355 · on the registry since 2010
Practice
- Address
- 6995 Dorsey Evergreen Rd
Fulton, MS 38843 - Phone
- (662) 397-0202
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-31
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