Mr. Gerry Delayne Moore Sr.
Mr. Gerry Delayne Moore Sr. is a Driver in Baxley, Georgia. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
85 Rendi LnBaxley, GA 31513-6816
Phone: (912) 347-9043
Fax: (912) 367-0986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1164773040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2012 |
| Last updated in NPPES | October 2, 2012 |