Individual
DR. ROGER LEON MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 ALCOVY ST, SUITE 1, MONROE, GA 30655-2180
(770) 267-4992
(770) 267-5710
Mailing address
PO BOX 747, MONROE, GA 30655-0747
(770) 267-4992
(770) 267-5710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
055771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055771
LICENSE
GA
01
—
209751
LICENSE
NY
Enumeration date
08/24/2005
Last updated
02/03/2011
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