NPI 1356497416

Jerry Pascall Moore, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Tupelo, MS

Practice location

Address: 146 Road 83, Tupelo, MS 38801-6971
Phone: (662) 407-0199

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 06849 (MS)

Other Pathology providers in Mississippi →

Registry record

NPI: 1356497416
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 8 Jul 2007

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.