Individual
DONELL WEBSTER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
551 HILL RD, CHOCOWINITY, NC 27817-0708
(252) 974-7600
(252) 974-7600
Mailing address
PO BOX 708, CHOCOWINITY, NC 27817-0708
(252) 974-7600
(252) 974-7600
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0071258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406856
—
NC
Enumeration date
04/09/2007
Last updated
07/08/2007
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