Individual
MICAH MOOBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
98 MANNING DRIVE, 323 MARY ELLEN JONES BUILDING, CB # 7035, CHAPEL HILL, NC 27599-7035
(919) 966-3311
(919) 966-7639
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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