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Search › Mississippi › 163W00000X

Timothy Moore

NPI 1740688308 · on the registry since 2014 · sole proprietor

Practice

Address
120 Randy Hendrix Dr
Batesville, MS 38606
Phone
(662) 563-9176
Organisation at this address
Region Iv
Region Iv Mental Health Services
Region Iv Mental Health Services
Region Iv Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-15

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