NPI 1063824688

John Moore

Practitioner Urology Physician Hattiesburg, MS

Practice location

Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: (601) 268-5888
Fax: (601) 261-3587

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 26534 (MS)

Other Urology providers in Mississippi →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence ME124782 (FL)

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 19690 (FL)

Registry record

NPI: 1063824688
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2014
Record last updated: 8 Jul 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.