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Eduardo Daniel Moreno Mandujano, PT-C,PA-S
Physician Assistant in Moultrie, Georgia
NPI 1144813890

Eduardo Daniel Moreno Mandujano is a Physician Assistant based in Omega, GA. Eduardo Daniel Moreno Mandujano practices in Moultrie, GA and has the professional credentials of PT-C,PA-S. The NPI Number for Eduardo Daniel Moreno Mandujano is 1144813890 and holds a License No. (Georgia).

The current practice location address for Eduardo Daniel Moreno Mandujano is 331 Seminole Dr, Moultrie, GA and can be reached out via phone at 229-589-1962.

Location: 331 Seminole Dr, Moultrie, GA, 31775-1089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144813890
Provider Name
Eduardo Daniel Moreno Mandujano
Credential
PT-C,PA-S
Provider Entity Type
Individual
Gender
Male
Address
331 Seminole Dr, Moultrie, GA, 31775-1089
Phone Number
229-589-1962
Fax Number
Provider Enumeration Date
02/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
331 Seminole Dr
City
Moultrie
State
Georgia
Zip
31768-9012
Phone Number
229-589-1962
Fax Number
person
Provider Business Mailing Address Details
Address
331 Seminole Dr
City
Moultrie
State
Georgia
Zip
31768-9012
Phone Number
229-589-1962
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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