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Contact Information

REBECCA S MOORE, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REBECCA S MOORE · (Female)

NPI # 1346536182
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 24834
  • SC License # MMD.33680LL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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