Individual
MS. SHALANE ALEXA MORALES NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-2347
(404) 712-2000
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-2575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
99074
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2018
Last updated
05/15/2024
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