Search › Mississippi › Driver
Derrick Moore
NPI 1770739872 · on the registry since 2008 · sole proprietor
Practice
- Address
- 8325 Poplar Springs Dr Lot 55
Meridian, MS 39305 - Phone
- (601) 681-4582
- Fax
- (601) 681-9642
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi