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Eduardo J Morales

Hospitalist

Allopathic & Osteopathic Physicians

450 Northside Cherokee Blvd, Canton, GA 30115-8015

PECOS Enrollment

This provider is enrolled in PECOS as EDUARDO MORALES.

Based on the most recent information from CMS, provider Eduardo J Morales is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1982845657
Provider Type
Individual
Full Name
Morales, Eduardo J
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/10/2009
Last Updated
3/8/2018

Contact Information

Practice Location

450 Northside Cherokee Blvd, Canton, GA 30115-8015

(770) 224-1000

(770) 224-2451

Mailing Location

201 Hospital Rd, Suite 107, Canton, GA 30114-2408

(770) 720-5100

(404) 851-6325

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 072040 Georgia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD13366 Rhode Island
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 072040 Georgia

Provider Identifiers

ID	Description	Issuer
ID 003149552A	Description Medicaid	Issuer Unlisted Georgia

Eduardo J Morales

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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