Individual
EVANGELOS J MORAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6017
Mailing address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975007772A
—
GA
Enumeration date
11/29/2005
Last updated
04/12/2011
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