MISS Mckenna Elyse Moe, PAC
NPI #1124691712 in Gainesville, Georgia
Provider Information
- NPI Number
- 1124691712
- Entity Type
- Individual
- Name
- MISS Mckenna Elyse Moe, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jul 21, 2021
- Last Updated
- Jul 21, 2021
Practice Location
- Address
- 1955 TEXTILE WAY STE B
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501-2543
- Phone
- (678) 987-1499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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