Antolin Moronta, PHYSICIAN ASSISTANT

NPI 1518728427 · on the registry since 2024 · sole proprietor

Practice

Address: 5955 Jimmy Carter Blvd Ste 100
Norcross, GA 30071
Phone: (770) 559-3555
Fax: (770) 559-3593
Organisation at this address: Grupo Medico De Georgia, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: PR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia