Edward Sidney Moak in Monticello - Internal Medicine
Edward Sidney Moak - NPI 1437266384
Edward Sidney Moak is a Internal Medicine in Monticello, Mississippi. Edward Sidney Moak practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward Sidney Moak is 1437266384. The last update date is 2023-06-30.
Edward Sidney Moak's current location address is 1167 E Broad St, Monticello, Mississippi. You can contact this provider via phone number 6015871433 and fax number 6015871625. The mailing address for Edward Sidney Moak is 1167 E Broad St, Monticello, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Sidney Moak |
|---|---|
| Address | 1167 E Broad St, Monticello, Mississippi |
| Phone Number | 6015871433 |
| Fax Number | 6015871625 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437266384 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 1167 E Broad St |
|---|---|
| City | Monticello |
| State | Mississippi (MS) |
| Post Code | 396547682 |
| Phone Number | 6015871433 |
| Fax Number | 6015871625 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 9304 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10333 | MS | -- | |
| MS09304 | MS | UPIN BLUE CROSS | |
| 60039545 | MS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Edward Sidney Moak's 1437266384?
The Edward Sidney Moak's NPI (National Provider Identifier) Number is 1437266384. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edward Sidney Moak's physical address?
The Edward Sidney Moak is physically located at 1167 E Broad St, in the city of Monticello, MS, with the postal code 396547682.
What is Edward Sidney Moak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Sidney Moak is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437266384 to Edward Sidney Moak?
The Edward Sidney Moak received its 1437266384 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the details pertaining to Edward Sidney Moak last refreshed?
The information related to the Edward Sidney Moak, including its address, specialty, and other relevant details, was last updated on 2023-06-30.
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