NPI 1184655060
Thomas C Moore, MD
Practice location
- Address
- 1115 N Frontage Rd, Vicksburg, MS 39180-5102
- Phone
- (601) 634-8790
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1184655060
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2006
- Record last updated
- 5 Aug 2008
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.