Antonio Moran Jr MD Facp PC

Organization Active NPI Medical Oncology Physician · Brunswick, GA

NPI 1356513873 · NPPES record last updated Jun 16, 2010

Key facts

NPI
1356513873
Entity type
Organization (NPI type 2)
Primary specialty
Medical Oncology Physician 207RX0202X
License
034669 (GA)
Legal business name
ANTONIO MORAN JR MD FACP PC
Practice address
2500 Starling St
Suite 303
Brunswick, GA 31520-4265
Phone
(912) 261-4998
Fax
(912) 261-4741
NPI assigned
Mar 25, 2008
Organization subpart
No

Authorized official

Name
Mrs. Pamela Bennett
Title
Office Manager
Phone
(912) 261-4998

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1111 Glynco Pkwy
Ste 200
Brunswick, GA 31525
Phone (912) 261-2355

2500 Starling St
Ste 303
Brunswick, GA 31520
Phone (912) 261-4998

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RX0202X 034669 GA Yes

Addresses

Primary practice location

2500 Starling St
Suite 303
Brunswick, GA 31520-4265

Mailing address

2500 Starling St
Suite 303
Brunswick, GA 31520-4265
Phone (912) 261-4998

Other providers in Brunswick, GA

All providers in Brunswick, GA · Medical Oncology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.