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Mr. Carlos Julio Moreno
Physician Assistant in Villa Rica, Georgia
NPI 1477615862

Carlos Julio Moreno is a Physician Assistant based in Villa Rica, GA. Carlos Julio Moreno practices in Villa Rica, GA. The NPI Number for Carlos Julio Moreno is 1477615862 and holds a License No. PA9102549 (Georgia).

The current practice location address for Carlos Julio Moreno is 690 Dallas Hwy, Villa Rica, GA and can be reached out via phone at 770-459-0620 and via fax at 770-456-7604.

Location: 690 Dallas Hwy, Villa Rica, GA, 30180-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477615862
Provider Name
Carlos Julio Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
690 Dallas Hwy, Villa Rica, GA, 30180-1264
Phone Number
770-459-0620
Fax Number
770-456-7604
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9102549 01 FL PA LICENSE
292140500 05 FL
006320 01 GA STATE LICENSE - PHYSICIAN ASSISTANT
PENDING 05 GA
institution
Provider Business Practice Location Address Details
Address
690 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1264
Phone Number
770-459-0620
Fax Number
770-456-7604
person
Provider Business Mailing Address Details
Address
690 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1264
Phone Number
770-459-0620
Fax Number
770-456-7604
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9102549 (Florida)
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.
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