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Individual

DR. PETER J MORESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2549 PIEDMONT RD, SUITE 120, ATLANTA, GA 30324
(678) 939-2709
(404) 601-0795
Mailing address
1950 OLD GALLOWS RD, STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1083
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204999784
TAX ID
GA
Enumeration date
09/05/2006
Last updated
02/01/2016
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