Organization
ANTONIO MORAN JR MD FACP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA BENNETT (OFFICE MANAGER)
(912) 261-4998
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 303, BRUNSWICK, GA 31520-4265
(912) 261-4998
(912) 261-4741
Mailing address
2500 STARLING ST, SUITE 303, BRUNSWICK, GA 31520-4265
(912) 261-4998
(912) 261-4741
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
034669
GA
Other
Enumeration date
03/25/2008
Last updated
06/16/2010
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