Individual
ALEXANDRE MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 MAPLE ST, SUITE 205, CARROLLTON, GA 30117-3230
(770) 834-0751
(770) 834-0753
Mailing address
119 MAPLE ST, SUITE 205, CARROLLTON, GA 30117-3230
(770) 834-0751
(770) 834-0753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
59474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635952427A
—
GA
Enumeration date
06/27/2006
Last updated
08/19/2013
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