Provider Demographics
NPI:1275899163
Name:ADAMS MORANCIE, NAILAH SAFIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAILAH
Middle Name:SAFIYA
Last Name:ADAMS MORANCIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7595
Mailing Address - Country:US
Mailing Address - Phone:984-974-4882
Mailing Address - Fax:919-966-6125
Practice Address - Street 1:3708 MAYFAIR ST STE 100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6223
Practice Address - Country:US
Practice Address - Phone:984-215-4780
Practice Address - Fax:984-215-4785
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120759207Q00000X
390200000X
NC2020-03395207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program