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Jesse D Moore Md

Jesse D Moore Md is a health care provider in Augusta, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Highway 64 East, Augusta, AR 72006, US
Practice Location Phone870-347-2568
Practice Location Fax870-347-2560
Legal Business NameJESSE D MOORE MD
NPI ?1790718906
Entity TypeOrganization
Enumeration Date ? Jul 9, 2006
Last Update Date ? Sep 27, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jesse D Moore Md

SpecialtySpecializationLicenseLicense State
Family Medicine

legacy-id-icon Legacy Provider IDs of Jesse D Moore Md

Provider IdIssuer StateIssuer TypeIssuer
F74938Medicare Upin
5J323ArkansasMedicare Pin

official-icon Authorized Official of Jesse D Moore Md

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Jesse D Moore Md's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jesse D Moore
Authorized Official Title/PositionMD
Authorized Official Phone Number870-347-2568