Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME120759 | FL |
Y | 207QS0010X | Family Doctor - Sports Medicine | 2020-03395 | NC |
NPI | 1275899163 |
---|---|
Provider Name | Dr. Nailah Safiya Adams Morancie |
First Address | Chapel Hill, NC 27599-7595 |
Second Address | Durham, NC 27707-6223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 01/04/2021 |