Whalio Doctors

NPI 1184655060

Thomas C Moore, MD

Practitioner Pediatrics Physician Vicksburg, MS

Practice location

Address
1115 N Frontage Rd, Vicksburg, MS 39180-5102
Phone
(601) 634-8790

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 14614 (MS)

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.