| Dr Marcia Liliana Moran, MD | |
|
908 South Williamson Avenue, Elon, NC 27244 | |
| (336) 538-2416 | |
| (336) 584-6811 |
| Full Name | Dr Marcia Liliana Moran |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 908 South Williamson Avenue, Elon, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003859943 | NPI | - | NPPES |
| 91926025 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2012-00217 (North Carolina) | Primary |
| 208000000X | Pediatrics | MD2005-0134 (New Mexico) | Secondary |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marcia Liliana Moran, MD 1234 Huffman Mill Road, Burlington, NC 27215-8700 Ph: (336) 538-1234 | Dr Marcia Liliana Moran, MD 908 South Williamson Avenue, Elon, NC 27244 Ph: (336) 538-2416 |
Adriana Cline, Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 919-966-4468 | |
Rita M Phiri- Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-2416 | |
Dr. Jasna S. Nogo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-1234 Fax: 336-584-6811 | |
Dr. Joseph R. Pringle Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 908 S Williamson Ave, Elon, NC 27244 Phone: 336-538-1234 Fax: 336-538-2390 | |
Suzanne Elizabeth Dvergsten, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2516 Fax: 336-584-6811 | |
Dalia Atef Khalifa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 908 South Williamson Avenue, Elon, NC 27244 Phone: 336-538-2416 Fax: 336-584-6811 |