Morales Mendez, Daliannys
Morales Mendez, Daliannys is an individual health care provider with primary practice located at 4905 Courtney Dr , Forest Park GA 30297-1427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Morales Mendez, Daliannys can be contacted via phone (404) 366-3636.Contact Information
Primary practice address
4905 Courtney Dr
Forest Park GA 30297-1427
Phone: (404) 366-3636
Fax: (404) 362-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME119519 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 074218 | Georgia |
Profile Details
| NPI number | 1437449964 |
|---|---|
| LBN Legal business name | Morales Mendez, Daliannys |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2011 |
| Last updated | Mar 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437449964 | NPPES |
| Florida | MEDICAID | 010967700 |
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