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	:	1669303814
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	:	111 S COLLEGE RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3225
Country	:	US
Telephone Number	:	601-944-1130
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. STEPHEN SINGLETON
Credential	:
Telephone Number	:	601-944-1130

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “MOORE MEDICAL INC ” Practice Location

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