MEDICARE: DR. DENIS MARCEL MORIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02446	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010007539	OTHER	GA	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932190840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENIS MARCEL MORIN M.D.

Provider Business Mailing Address
First Line	:	30 BUCHANAN BYP
Second Line	:
City	:	BUCHANAN
State	:	GA
Zip	:	30113-4924
Country	:	US
Telephone Number	:	770-646-8281
Fax Number	:	770-646-3579

Provider Business Practice Location Address
First Line	:	30 BUCHANAN BYP
Second Line	:
City	:	BUCHANAN
State	:	GA
Zip	:	30113-4924
Country	:	US
Telephone Number	:	770-646-8281
Fax Number	:	770-646-3579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/28/2011

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