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

Meredith Moore, SA

Individual provider Surgical Assistant · NPI 1912892316

Meredith Moore, SA is a Surgical Assistant in Nettleton, Mississippi. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

114 Rogers Dr
Nettleton, MS 38858-6014
Phone: (662) 614-4803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136001058 (VA)

Record details

NPI number1912892316
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address114 Rogers Dr, Nettleton, MS 38858-6014