Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARLOS JULIO MORENO
ActiveMR. CARLOS JULIO MORENO is a Physician Assistant healthcare provider located in VILLA RICA, Georgia. NPI 1477615862 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VILLA RICA, GA
Registration Details
- NPI Number
- 1477615862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2006 (19.640396272741 yrs)
- Last Updated
- Dec 19, 2011
- Licenses
-
PA9102549 (FL)006320 (GA)
Practice Information
- Address
-
690 DALLAS HWYSUITE 101VILLA RICA, GA, 301801264Browse GA providers · Browse ZIP 30180
- Phone
- 7704590620
- Fax
- 7704567604
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VILLA RICA, GA
| Name | Credential | NPI |
|---|---|---|
| MARY ALEXANDER-ADAMS | PA-C | 1831312081 |
| KORTNI KILGORE | PA | 1174026033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.