NPI 1255984795

Morrison Dwight Moss

Practitioner Contractor Brandon, MS

Practice location

Address: 309 Lacoste CT, Brandon, MS 39047-7104
Phone: (601) 622-5499
Fax: (601) 352-8452

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1178960 (MS)

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Registry record

NPI: 1255984795
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2019
Record last updated: 23 Jul 2019

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.