Organization · Type 2 NPI

Moore Healthy Family Medical Clinic, LLC

Primary Care Clinic/Center · Jackson, MS

NPI number 1205137304 Active

Practice location

5604 Old Canton Rd
Jackson, MS 39211-4217

Call (601) 991-1044 Map

Fax (601) 991-9868

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMS18036 (MS)

Primary Care Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1205137304

Moore Healthy Family Medical Clinic, LLC's National Provider Identifier is 1205137304, issued on Nov 6, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jackson, MS. The record was last updated on Apr 18, 2013.