Individual provider · Type 1 NPI

Carlos Julio Moreno

Physician Assistant · Villa Rica, GA

NPI number 1477615862 Active

Practice location

690 Dallas Hwy, Suite 101
Villa Rica, GA 30180-1264

Call (770) 459-0620 Map

Fax (770) 456-7604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9102549 (FL)
Physician Assistant Primary 363A00000X006320 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477615862

Carlos Julio Moreno's National Provider Identifier is 1477615862, issued on Dec 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Villa Rica, GA. The record was last updated on Dec 19, 2011.