Moran, Antonio

Moran, Antonio is an individual health care provider with primary practice located at 1111 Glynco Pkwy Ste 35 , Brunswick GA 31525-7930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Moran, Antonio can be contacted via phone (912) 304-7013.

Contact Information

Primary practice address
1111 Glynco Pkwy Ste 35 Brunswick GA 31525-7930
Phone: (912) 304-7013
Fax: (912) 342-1025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 34669 Georgia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 34669 Georgia

Profile Details

NPI number 1396735908
LBN Legal business name Moran, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Dec 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396735908 NPPES
Georgia Other 028147 BCBS
Georgia MEDICAID 00471248H BCBS

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