Antolin Moronta, PHYSICIANASSISTANT
Antolin Moronta, PHYSICIANASSISTANT is a Medical Physician Assistant in Norcross, Georgia. Practices as a sole proprietor. Licensed in Puerto Rico.
- Licensed in
- PR
- In the registry since
- 2024
Practice location Address checks out
5955 Jimmy Carter Blvd Ste 100Norcross, GA 30071-4608
Phone: (770) 559-3555
Fax: (770) 559-3593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 2034-P.A (PR) |
|---|
Record details
| NPI number | 1518728427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2024 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 18, 2024 |
| Mailing address | 5955 Jimmy Carter Blvd Ste 100, Norcross, GA 30071-4608 |
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