NPI 1144255225

Jimmie G Moore, PAC

Practitioner Medical Physician Assistant Hattiesburg, MS

Practice location

Address: 3688 Veterans Memorial Dr Suite 200, Hattiesburg, MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7488

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA028 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1144255225
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2006
Record last updated: 12 Jan 2010

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.