Moore, Terria

Moore, Terria is an individual health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Terria can be contacted via phone (757) 314-7602.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1373
Phone: (757) 314-7602
Fax: (757) 314-7601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010002446 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005591 Georgia

Profile Details

NPI number 1447456074
LBN Legal business name Moore, Terria
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated May 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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