Individual
DR. JON F MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR DEPT OF, ECU PHYSICIANS CARDIOLOGY, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9500159
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330004171
RAILROAD MEDICARE
NC
01
—
60567
BCBS NC
NC
05
—
8960567
—
NC
Enumeration date
09/02/2005
Last updated
11/30/2011
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