NPI
Wilson E Moak
NPI 1184629818
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2005-06-17
- Last updated
- 2007-07-09
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Specialties
Licenses
- License MS
- 06305
Location
- Practice location
- 1190 N State St, Ste 403
- City
- Jackson MS
- Postal code
- 39202-2413
- Phone
- (601) 353-2020
- Fax
- (601) 714-5110
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Ophthalmologists in Jackson, MS. 60 with this primary taxonomy in the public file.
Other NPIs in Jackson, MS. 8,701 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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