Dr. Charles K. Moore
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
2500 North State Street Department Of Medicine/division Of Cardiology
Jackson
, Mississippi 39216-4500
Dr. Charles K. Moore
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
2500 North State Street Department Of Medicine/division Of Cardiology
Jackson
, Mississippi 39216-4500
(601) 984-5638
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Charles K. Moore
- 2500 North State Street
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 984-5638
- Phone : (601) 984-5678
Second Address
- Dr. Charles K. Moore
- 2500 North State Street Department Of Medicine/division Of Cardiology
- Jackson, MS
- Zip : 39216-4500
- Phone : (601) 984-5630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 13284 | MS |
| N | 207RC0000X | Internist - Cardiovascular Disease | 13284 | MS |
National Provider Identifier
| NPI | 1699795641 |
|---|---|
| Provider Name | Dr. Charles K. Moore |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 06/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00110493 | (05) | MS |
| 1687821 | (05) | LA |
| E49631 | (02) | MS |
| P00618863 | RAILROAD MEDICARE (01) | MS |
| RR 060036949 | RAILROAD (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.