NPI 1275719726

Claudia Lafaye Moore, PA

Practitioner Physician Assistant Canton, MS

Practice location

Address: 1668 W Peace St, Canton, MS 39046-5332
Phone: (601) 859-5213
Fax: (601) 859-8771
Mailing address: PO Box 588, Canton, MS 39046-0588

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence TPA0015 (MS)

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Registry record

NPI: 1275719726
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2008
Record last updated: 17 Apr 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.