Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moore Healthy Family Medical Clinic, LLC

Organization Primary Care Clinic/Center · NPI 1205137304

Moore Healthy Family Medical Clinic, LLC is a Primary Care Clinic/Center in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5604 Old Canton Rd
Jackson, MS 39211-4217
Phone: (601) 991-1044
Fax: (601) 991-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MS18036 (MS)

Record details

NPI number1205137304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Moore — Owner · (601) 307-2450
NPI enumeratedNovember 6, 2010
Last updated in NPPESApril 18, 2013
Mailing address5604 Old Canton Rd, Jackson, MS 39211-4217

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