NPI 1942392717

Mooreco

Organisation Preferred Provider Organization Jackson, MS

Practice location

Address: 1700 Terry Rd, Jackson, MS 39204-3907
Phone: (601) 355-2438
Fax: (601) 948-0418

Authorised official

Name: Jerry M Perry
Title: Rph
Phone: (601) 355-2438

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 01086/01.1 (MS)

Other Preferred Provider Organization providers in Mississippi →

Registry record

NPI: 1942392717
Entity type: Organization
NPI issued: 29 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.