Individual
DALIANNYS MORALES MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Mailing address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
074218
GA
208000000X
Pediatrics Physician
ME119519
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010967700
—
FL
Enumeration date
04/18/2011
Last updated
03/02/2021
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