Individual provider · Type 1 NPI

Natasha Mora

Surgical Physician Assistant · Snellville, GA

NPI number 1114743655 Active

Practice location

1557 Janmar Rd
Snellville, GA 30078-5686

Call (678) 344-8900 Map

Fax (678) 666-5201

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X13892 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1114743655

Natasha Mora's National Provider Identifier is 1114743655, issued on Nov 30, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Snellville, GA. The record was last updated on Mar 25, 2026.