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Individual
MICAH MOOBERRY
Active
Individual
MICAH MOOBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
2008-00585
NC
2080P0207X
Pediatric Hematology & Oncology Physician
2008-00585
NC
Other
Enumeration date
05/01/2007
Last updated
04/02/2021
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