Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERRY DELAYNE MOORE SR.
Active Sole ProprietorMR. GERRY DELAYNE MOORE SR. is a Driver healthcare provider located in BAXLEY, Georgia. NPI 1164773040 is currently active in the NPPES registry. Verify at CMS.
Driver · BAXLEY, GA
Registration Details
- NPI Number
- 1164773040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2012 (13.874510618209 yrs)
- Last Updated
- Oct 2, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
85 RENDI LNBAXLEY, GA, 315136816Browse GA providers · Browse ZIP 31513
- Phone
- 9123479043
- Fax
- 9123670986
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.