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Contact Information

PAUL H MOORE III, MD
2500 NORTH STATE STREET
JACKSON, MS39216-4500
 Phone: 601-984-5306
 Fax: 601-984-6904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PAUL H MOORE III · (Male)

NPI Number 1962679241
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2008
Last updated 03/11/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 31773
  • MS License # 22004
  • NY License # 254426
  • MS Medicaid 05182213
Hospital affiliation(s)
  • MADISON RIVER OAKS MEDICAL CENTER - (Acute Care)
    161 RIVER OAKS DRIVE
    CANTON, MS 39046
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
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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