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Contact Information

GALE MOORE, C.N.M.
1401 OAK ST
GRENADA, MS38901-4633
 Phone: 662-226-4010
 Fax: 662-226-4495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GALE MOORE · (Female)

NPI # 1962582585
Status Active
Credentials C.N.M.
Entity Individual
Enumeration date 10/17/2006
Last updated 01/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R525294
  • MS Medicaid 00111153
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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