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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEFFREY GLENN MOORE, ATC

Active

MR. JEFFREY GLENN MOORE, ATC is a Athletic Trainer healthcare provider located in UNIVERSITY, Mississippi. NPI 1578533790 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · UNIVERSITY, MS

Registration Details

NPI Number
1578533790
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2006 (20.368132019583 yrs)
Last Updated
Jul 8, 2007
License
0087 (MS)

Practice Information

Address
ROOM 118 FIELDHOUSE
ALL AMERICAN DRIVE
UNIVERSITY, MS, 38677
Browse MS providers · Browse ZIP 38677
Phone
6629157536
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in UNIVERSITY, MS

Name Credential NPI
MR. TIMOTHY CHRIS MULLINS ATC 1558325134
LYNNETTE YVONNE JOHNSON ATC 1821027194
CHAD IAN PERKINS M.S., ATC 1427083716
HEATHER A LANDRY ATC 1427072578
MISS ERICA LYNDSAY WILBURN ATC 1952404287
MR. TONY F. BARNETT JR. ATC 1578624649
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.