Most Relevant Information
Provider Data
| NPI Number: | 1003592916 |
| Provider Name: | BRIANNA IDALIS MORALES PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0010-13313 |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
305 1ST ST E
CONOVER
NC
286131715
Practice Location Phone/Fax
| Phone: | 8284643821 |
| Fax: |
Provider Mailing Location
100 KIMEL FOREST DR
WINSTON SALEM
NC
271036074
Provider Mailing Phone/Fax
| Phone: | 3367161331 |
| Fax: |