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Mr. Gerry Delayne Moore SR.
Driver in Baxley, Georgia
NPI 1164773040

Gerry Delayne Moore SR. is a Driver based in Baxley, GA. Gerry Delayne Moore SR. practices in Baxley, GA. The NPI Number for Gerry Delayne Moore SR. is 1164773040 and holds a License No. (Georgia).

The current practice location address for Gerry Delayne Moore SR. is 85 Rendi Ln, Baxley, GA and can be reached out via phone at 912-347-9043 and via fax at 912-367-0986.

Location: 85 Rendi Ln, Baxley, GA, 31513-6816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164773040
Provider Name
Gerry Delayne Moore SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
85 Rendi Ln, Baxley, GA, 31513-6816
Phone Number
912-347-9043
Fax Number
912-367-0986
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
85 Rendi Ln
City
Baxley
State
Georgia
Zip
31513-6816
Phone Number
912-347-9043
Fax Number
912-367-0986
person
Provider Business Mailing Address Details
Address
85 Rendi Ln
City
Baxley
State
Georgia
Zip
31513-6816
Phone Number
912-347-9043
Fax Number
912-367-0986
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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