Organization
VICTOR A. MORALES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A MORALES MD (OWNER)
(706) 540-5791
Entity
Organization
Contact information
Practice address
1230 BAXTER ST, NEONATAL INTENSIVE CARE UNIT, ATHENS, GA 30606-3712
(706) 389-3430
Mailing address
1181 WILD AZALEA LN, ATHENS, GA 30606-5353
(706) 540-5791
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080N0001X
TAXONOMY
GA
Enumeration date
11/16/2014
Last updated
11/16/2014
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