Charles Robert Moore in Hattiesburg - Urology

Charles Robert Moore - NPI 1801058821

Charles Robert Moore is a Urology in Hattiesburg, Mississippi. Charles Robert Moore practices all healthcare services and medical treatments related to Urology. The NPI Number for Charles Robert Moore is 1801058821. The last update date is 2011-10-24.

Charles Robert Moore's current location address is 139 Fairfield Dr, Hattiesburg, Mississippi. You can contact this provider via phone number 6014502417 and fax number 6014502434. The mailing address for Charles Robert Moore is 139 Fairfield Dr, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Robert Moore
Address 139 Fairfield Dr, Hattiesburg, Mississippi
Phone Number 6014502417
Fax Number 6014502434
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801058821
Provider Enumeration Date 2008-06-30
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address 139 Fairfield Dr
City Hattiesburg
State Mississippi (MS)
Post Code 394021303
Phone Number 6014502417
Fax Number 6014502434

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 20677
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5137554 MS --

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FAQs about Charles Robert Moore

What is the unique 10-digit identifier code assigned to Charles Robert Moore by the Centers for Medicare & Medicaid Services?

The Charles Robert Moore has been issued the NPI (National Provider Identifier) 1801058821 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Charles Robert Moore is located?

The Charles Robert Moore is situated at the following address: 139 Fairfield Dr, Hattiesburg, MS, 394021303.

What is Charles Robert Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles Robert Moore is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.

On what date was the 1801058821 assigned to Charles Robert Moore?

The Charles Robert Moore was issued its 1801058821 on 2008-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Robert Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Robert Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-24.

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