DR. Jacob Ryan Moore, D.O. is a student in an organized health care education training program in Greenville, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jacob Ryan Moore, D.O. NPI is 1831719947. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2100 STANTONSBURG RD
GREENVILLE, NC
ZIP 27834-818
Phone: (252) 744-4757
Fax: (252) 744-4125
The NPI 1831719947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/17/2020 and was last updated on 1/3/2021.