Moman, Maria Moman

Moman, Maria Moman is an individual health care provider with primary practice located at 1668 W Peace Street , Canton MS 39046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moman, Maria Moman can be contacted via phone (601) 859-5213.

Contact Information

Primary practice address
1668 W Peace Street Canton MS 39046
Phone: (601) 859-5213
Fax: (601) 859-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11562 Mississippi

Profile Details

NPI number 1730300427
LBN Legal business name Moman, Maria Moman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730300427 NPPES
Mississippi MEDICAID 04404037

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