Meredith Moore, SA Valid NPI
Individual provider · Surgical Assistant · Nettleton, MS
- NPI
- 1912892316
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Assistant (Specialist/Technologist, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 246ZC0007X
- License number
- 0136001058 (VA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
Practice location
114 Rogers Dr
Nettleton, MS 38858-6014
(662) 614-4803