Fenton, Moon
Fenton, Moon is an individual health care provider with primary practice located at 1505 Northside Blvd Ste 4600 , Cumming GA 30041-7658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Fenton, Moon can be contacted via phone (770) 205-5292.Contact Information
Primary practice address
1505 Northside Blvd Ste 4600
Cumming GA 30041-7658
Phone: (770) 205-5292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 48818 | Tennessee |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 110913 | Georgia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 436854 | Pennsylvania |
Profile Details
| NPI number | 1891995288 |
|---|---|
| LBN Legal business name | Fenton, Moon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Sep 21st, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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