Individual provider · Type 1 NPI
Derrick Monterey Moore Sr.
Driver · Meridian, MS
NPI number
1770739872
Active
Practice location
8325 Poplar Springs Dr Lot 55
Meridian, MS 39305-9243
Fax (601) 681-9642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 9205865 (MS) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Meridian
About NPI 1770739872
Derrick Monterey Moore Sr.'s National Provider Identifier is 1770739872, issued on Aug 8, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Meridian, MS. The record was last updated on Aug 8, 2008.