DR. Jorge Luis Moreno SR., M.D.

NPI #1518904242 in Jackson, Georgia

Provider Information

NPI Number: 1518904242
Entity Type: Individual
Name: DR. Jorge Luis Moreno SR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 1, 2006
Last Updated: Jul 1, 2014

Practice Location

Address: 375 MCDONOUGH RD
City: Jackson
State: Georgia
ZIP Code: 30233-1509
Phone: (770) 775-4622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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