Crystal Baxley Moore Valid NPI
Individual provider · Prosthetics Case Management · Elizabethtown, NC
- NPI
- 1477084614
- Type
- Individual (Type 1)
- Primary specialty
- Prosthetics Case Management (Specialist)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1744P3200X
- License number
- C48738 (NC)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-03-21
- Last updated
- 2017-03-21
Practice location
105 East Broad St
Elizabethtown, NC 28337
(910) 991-3151