Organization
CAROLINA DEVELOPMENTAL PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L MORAN M.D. (DOCTOR)
(919) 362-5406
Entity
Organization
Contact information
Practice address
1001 W WILLIAMS ST, SUITE 104, APEX, NC 27502-3978
(919) 362-5406
(919) 362-5409
Mailing address
1001 W WILLIAMS ST, SUITE 104, APEX, NC 27502-3978
(919) 362-5406
(919) 362-5409
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
200100579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285H
BCBS
—
05
—
891285H
—
NC
Enumeration date
09/29/2015
Last updated
12/07/2015
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