Doctor Name: | DONELL WEBSTER MOORE |
NPI Number: | 1477676260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EMT |
License Number: | 0071258 |
Business Practice Address: | 551 Hill Rd Chocowinity, NC - 278170708 |
Business Phone Number: | 2529747600 |
Business Fax Number: | 2529747600 |
Mailing Address: | Po Box 708, CHOCOWINITY |
State: | NC |
Postal Code: | 278170708 |
Phone Number: | 2529747600 |
Fax Number: | 2529747600 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 0071258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |