Individual provider · Type 1 NPI

Jimmie G. Moore Jr., PA-C

Medical Physician Assistant · Hattiesburg, MS

NPI number 1144255225 Active

Practice location

3688 Veterans Memorial Dr, Suite 200
Hattiesburg, MS 39401-8246

Call (601) 554-7400 Map

Fax (601) 554-7488

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA028 (MS)

Medical Physician Assistant: Definition to come...

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About NPI 1144255225

Jimmie G. Moore Jr., PA-C's National Provider Identifier is 1144255225, issued on Jul 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 12, 2010.