Derrick Monterey Moore in Meridian - Driver
Derrick Monterey Moore - NPI 1770739872
Derrick Monterey Moore is a Driver in Meridian, Mississippi. Derrick Monterey Moore practices all healthcare services and medical treatments related to Driver. The NPI Number for Derrick Monterey Moore is 1770739872. The last update date is 2008-08-08.
Derrick Monterey Moore's current location address is 8325 Poplar Springs Dr Lot 55, Meridian, Mississippi. You can contact this provider via phone number 6016814582 and fax number 6016819642. The mailing address for Derrick Monterey Moore is 8325 Poplar Springs Dr Lot 55, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Monterey Moore |
|---|---|
| Address | 8325 Poplar Springs Dr Lot 55, Meridian, Mississippi |
| Phone Number | 6016814582 |
| Fax Number | 6016819642 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770739872 |
|---|---|
| Provider Enumeration Date | 2008-08-08 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 8325 Poplar Springs Dr Lot 55 |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393059243 |
| Phone Number | 6016814582 |
| Fax Number | 6016819642 |
Provider's Primary Taxonomy Detail
| Speciality | Driver |
|---|---|
| Taxonomy | 172A00000X |
| Licence No | 9205865 |
|
Definition: A person employed to operate a motor vehicle as a carrier of persons or property. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2926254 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Derrick Monterey Moore by the Centers for Medicare & Medicaid Services?
The Derrick Monterey Moore has been issued the NPI (National Provider Identifier) 1770739872, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Derrick Monterey Moore located?
The Derrick Monterey Moore is located at 8325 Poplar Springs Dr Lot 55, Meridian, MS 393059243.
What is Derrick Monterey Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derrick Monterey Moore's area of specialization is Driver, and the corresponding taxonomy code that categorizes this field of practice is 172A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770739872 to Derrick Monterey Moore?
The Centers for Medicare & Medicaid Services originally issued the 1770739872 to Derrick Monterey Moore on 2008-08-08.
As of what date were the details pertaining to Derrick Monterey Moore last refreshed?
The information related to the Derrick Monterey Moore, including its address, specialty, and other relevant details, was last updated on 2008-08-08.
NPI Number: 1316940851
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