THEA C MORAN, MD MOBILE, AL

Contact Information

THEA C MORAN, MD

2451 FILLINGIM ST
MASTIN BLDG 617
MOBILE, AL 36617-2238

Phone: 251-470-5842
Fax: 251-470-5809
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for THEA C MORAN · (Female)

NPI Number	`1568416378`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/19/2006
Last updated	08/02/2007 - About 19 years ago
Sole proprietor ¹	No
Identifiers	AL License # 20112 AL Medicaid 009968275 AL Medicaid 009968285 FL Medicaid 271086200 LA Medicaid 1055883 MS Medicaid 06436563 AL Other 51524024 BLUE CROSS AL Other 51524025 BLUE CROSS AL Other 16-01157 UNITED HEALTH CARE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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