| Doctor Name: | TERRI MOORE |
| NPI Number: | 1689066441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | DBN3742 |
| Business Practice Address: | 8863 Nc Highway 65 Stokesdale, NC - 273578465 |
| Business Phone Number: | 3369499133 |
| Business Fax Number: | 3369499133 |
| Mailing Address: | 8863 Nc Highway 65, STOKESDALE |
| State: | NC |
| Postal Code: | 273578465 |
| Phone Number: | 3369499133 |
| Fax Number: | 3369499133 |
| NPI Enumeration Date: | 03/03/2015 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | DBN3742 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |