Individual provider · Type 1 NPI
Crystal Baxley Moore
Prosthetics Case Management · Elizabethtown, NC
NPI number
1477084614
Active
Practice location
105 East Broad St
Elizabethtown, NC 28337
Mailing address
8621 Lisbon Rd
Clarkton, NC 28433-8769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | C48738 (NC) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1477084614
Crystal Baxley Moore's National Provider Identifier is 1477084614, issued on Mar 21, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Elizabethtown, NC. The record was last updated on Mar 21, 2017.