Morales, Roger Leon

Morales, Roger Leon is an individual health care provider with primary practice located at 333 Alcovy St Suite 1, Monroe GA 30655-2180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Morales, Roger Leon can be contacted via phone (770) 267-4992.

Contact Information

Primary practice address
333 Alcovy St Suite 1 Monroe GA 30655-2180
Fax: (770) 267-5710
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 055771 Georgia

Profile Details

NPI number 1043203227
LBN Legal business name Morales, Roger Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 3rd, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043203227 NPPES
Georgia Other 055771 LICENSE
Georgia Other 209751 LICENSE

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