Moriah
Moriah is a Specialist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
12080 New Orleans Ave NGulfport, MS 39503-3180
Phone: (228) 832-9933
Fax: (228) 832-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 14510 (MS) |
|---|
Record details
| NPI number | 1003958117 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Jackson — Owner · (228) 832-9933 |
| Other names | Dr. Tim Jackson |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | August 22, 2008 |
| Mailing address | Po Box 10049, Gulfport, MS 39505-0049 |
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