Moore, Melissa

Moore, Melissa is an individual health care provider with primary practice located at 6995 Dorsey Evergreen Rd , Fulton MS 38843-7743. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moore, Melissa can be contacted via phone (662) 397-0202.

Contact Information

Primary practice address
6995 Dorsey Evergreen Rd Fulton MS 38843-7743
Phone: (662) 397-0202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X TA2287 Mississippi

Profile Details

NPI number 1568778355
LBN Legal business name Moore, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Aug 31st, 2010 - about 15 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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