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NPI 1477084614

IndividualActive

Crystal Moore

NPI 1477084614 · Prosthetics Case Management · Elizabethtown, NC

Provider details

NPI number: 1477084614
Entity type: Individual
Primary specialty: Prosthetics Case ManagementOther Service Providers
Sex: Female
Sole proprietor: Yes
License: C48738 (NC)

Practice location

105 East Broad St

Elizabethtown, NC 28337

Phone: (910) 991-3151

More NC providers

Mailing address

8621 Lisbon Rd

Clarkton, NC 28433-8769

Registry dates

Enumerated: 2017-03-21
Last updated: 2017-03-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Crystal Moore — NPI 1477084614, Elizabethtown, NC | NPI Central