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

Walter Thomas Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396569844

Walter Thomas Moore, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (601) 968-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1396569844
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address1190 N State St Ste 400, Jackson, MS 39202-2413

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