Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK MONTEREY MOORE SR.
Active Sole ProprietorMR. DERRICK MONTEREY MOORE SR. is a Driver healthcare provider located in MERIDIAN, Mississippi. NPI 1770739872 is currently active in the NPPES registry. Verify at CMS.
Driver · MERIDIAN, MS
Registration Details
- NPI Number
- 1770739872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2008 (17.989335699298 yrs)
- Last Updated
- Aug 8, 2008
- License
-
9205865 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8325 POPLAR SPRINGS DR LOT 55MERIDIAN, MS, 393059243Browse MS providers · Browse ZIP 39305
- Phone
- 6016814582
- Fax
- 6016819642
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in MERIDIAN, MS
| Name | Credential | NPI |
|---|---|---|
| MR. MITCHELL LAMAR JOHNSON | — | 1295325033 |
| MRS. LACEDA HOLIFIELD | — | 1497486088 |
| MR. TYRONE NAYLOR | — | 1801692066 |
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.