Organization · Type 2 NPI

Moriah

Specialist · Gulfport, MS

NPI number 1003958117 Active

Practice location

12080 New Orleans Ave N
Gulfport, MS 39503-3180

Fax (228) 832-9916

Mailing address

PO Box 10049
Gulfport, MS 39505-0049

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X14510 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003958117

Moriah's National Provider Identifier is 1003958117, issued on Feb 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 22, 2008.