Henry S Moon, MD

NPI #1780646083 in Dacula, Georgia

Provider Information

NPI Number: 1780646083
Entity Type: Individual
Name: Henry S Moon, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 4, 2006
Last Updated: Jan 15, 2010

Practice Location

Address: 2098 TERON TRCE
Address 2: STE150
City: Dacula
State: Georgia
ZIP Code: 30019-1662
Phone: (678) 730-1620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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