Jesse D Moore MD
Organization Active NPI Family Medicine Physician · Augusta, AR
NPI 1790718906 · NPPES record last updated Sep 27, 2007
Key facts
- NPI
- 1790718906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JESSE D MOORE MD
- Practice address
- Highway 64 East
Augusta, AR 72006 - Phone
- (870) 347-2568
- Fax
- (870) 347-2560
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Jesse D Moore
- Title
- MD
- Phone
- (870) 347-2568
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
Highway 64 East
Augusta, AR 72006
Mailing address
PO Box 67
Augusta, AR 72006
Phone (870) 347-2568
Other providers in Augusta, AR
- Audra M Hamilton
- Lee Harlan
- Health Resources of Arkansas, Inc.
- Health Resources of Arkansas, Inc.
- Jaymie Frances Hopkins
- Andrew Moore
- Northeast Arkansas Community Mental Health Center Inc
- Rochelle Pace
- Aretha Poindexter
- Amanda Renee Rigsby
All providers in Augusta, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.