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Contact Information

ANTONIO MORAN JR MD FACP PC
2500 STARLING ST
SUITE 303
BRUNSWICK, GA31520-4265
 Phone: 912-261-4998
 Fax: 912-261-4741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANTONIO MORAN JR MD FACP PC

NPI Number 1356513873
LBN Legal business name ANTONIO MORAN JR MD FACP PC
Authorized official PAMELA BENNETT - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2008
Last updated 06/16/2010 - About 16 years ago
Identifiers
GA License # 034669
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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