Provider Demographics
NPI:1679176614
Name:D. L. MOORE & ASSOCIATES, INC
Entity Type:Organization
Organization Name:D. L. MOORE & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-749-4939
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-0326
Mailing Address - Country:US
Mailing Address - Phone:601-749-4939
Mailing Address - Fax:769-301-1641
Practice Address - Street 1:121
Practice Address - Street 2:FRONT ST
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475
Practice Address - Country:US
Practice Address - Phone:601-749-4939
Practice Address - Fax:769-301-1641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D L MOORE & ASSOCIATES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty