Gerry Delayne Moore Sr.
Driver · Baxley, GA
NPI number
1164773040
Practice location
85 Rendi LnBaxley, GA 31513-6816
- Phone
- (912) 347-9043
- Fax
- (912) 367-0986
NPI record
- NPI
- 1164773040
- Entity type
- Individual (Type 1)
- Enumeration date
- October 2, 2012
- Last updated
- October 2, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
— | — |
About Gerry Moore
Gerry Delayne Moore Sr. is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 85 Rendi Ln, Baxley, GA 31513-6816. The NPI number 1164773040 was assigned on October 2, 2012 and the record was last updated on October 2, 2012.
Frequently asked questions
What is the NPI number of Gerry Delayne Moore Sr.?
The NPI number is 1164773040.
What is the phone number of Gerry Moore?
The phone number listed for the practice location is (912) 347-9043.
Where is Gerry Moore located?
85 Rendi Ln, Baxley, GA 31513-6816.
What is the taxonomy code for Gerry Moore?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.