JEFFREY GLENN MOORE

UNIVERSITY, MS
NPI1578533790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  0087)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
Mr. JEFFREY GLENN MOORE ATC
ROOM 118 FIELDHOUSE ALL AMERICAN DRIVE
UNIVERSITY, MS 38677
Phone number: 662-915-7536
Mailing Address
Mr. JEFFREY GLENN MOORE ATC
181 HIGHWAY 334
OXFORD, MS 38655-9402
Phone number: 662-281-8314