NPI Registry.org

Eduardo Daniel Moreno Mandujano

NPI Registration Record

Provider / OrganizationNPIDate Certified
EDUARDO DANIEL MORENO MANDUJANO11448138902021-02-13

Eduardo Daniel Moreno Mandujano is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144813890. Registration indicates Eduardo Daniel Moreno Mandujano is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Eduardo Daniel Moreno Mandujano PT-C, PA-S
Practice Office Address331 SEMINOLE DR
MOULTRIE, GA US
Practice Office Telephone2295891962
Mailing AddressPO BOX 1089
OMEGA, GA 317751089 US
Business Telephone2295891962
HPT Codes
CodePractice
License No
State
363AM0700XAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Medical

All Other Specialties & Provider Types

Physician Assistant Medical
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Surgical

All Other Specialties & Provider Types

Physician Assistant Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
OPI Codes

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