Individual
ANTOLIN MORONTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5955 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-4608
(770) 559-3555
(770) 559-3593
Mailing address
5955 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-4608
(770) 559-3555
(770) 559-3593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2034-P.A
PR
Other
Enumeration date
01/18/2024
Last updated
01/19/2024
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