Moronta, Antolin
Moronta, Antolin is an sole proprietor health care provider with primary practice located at 5955 Jimmy Carter Blvd Ste 100 , Norcross GA 30071-4608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Moronta, Antolin can be contacted via phone (770) 559-3555.Contact Information
Primary practice address
5955 Jimmy Carter Blvd Ste 100
Norcross GA 30071-4608
Phone: (770) 559-3555
Fax: (770) 559-3593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2034-P.A | Puerto Rico |
Profile Details
| NPI number | 1518728427 |
|---|---|
| LBN Legal business name | Moronta, Antolin |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2024 |
| Last updated | Jan 19th, 2024 - about 2 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.
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