Individual
DR. COURTNEY COURSEY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-1868
Mailing address
45 BLACKLAND RD NW, ATLANTA, GA 30342-4407
(404) 520-6433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62324
GA
Other
Enumeration date
06/13/2007
Last updated
09/18/2012
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