MEDICARE: MOORE MEDICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1316889850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOORE MEDICAL INC

Provider Business Mailing Address
First Line	:	2089 LAKELAND DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-5010
Country	:	US
Telephone Number	:	601-944-1130
Fax Number	:	601-355-7476

Provider Business Practice Location Address
First Line	:	212 PECAN PARK AVE STE A
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3364
Country	:	US
Telephone Number	:	601-944-1130
Fax Number	:	601-355-7476

Authorized Official
Title or Position	:	CO OWNER
Name	:	STEPHEN SINGLETON
Credential	:
Telephone Number	:	601-944-1130

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “MOORE MEDICAL INC ” Practice Location

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