Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE ELLIS MOORE, M.D.
ActiveLEE ELLIS MOORE, M.D. is a 207WX0120X healthcare provider located in MADISON, Mississippi. NPI 1699156950 is currently active in the NPPES registry. Verify at CMS.
207WX0120X · MADISON, MS
Registration Details
- NPI Number
- 1699156950
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2015 (11.177668038518 yrs)
- Last Updated
- Jul 2, 2020
- Licenses
-
209770 (NC)34523 (OK)27439 (MS)
Practice Information
- Address
-
501 BAPTIST DR STE 220MADISON, MS, 391102031Browse MS providers · Browse ZIP 39110
- Phone
- 6019859120
- Primary Specialty
-
207WX0120X
207WX0120X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- 207WX0120X
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.