Moon, Marcus Antwone

Moon, Marcus Antwone is an individual health care provider with primary practice located at 1825 Parker Rd Se Apt 105 , Conyers GA 30094-2644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics, which is considered as his primary health care specialty. Moon, Marcus Antwone can be contacted via phone (404) 547-9678.

Contact Information

Primary practice address
1825 Parker Rd Se Apt 105 Conyers GA 30094-2644
Phone: (404) 547-9678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2279P3900X 007330 Georgia

Profile Details

NPI number 1104334275
LBN Legal business name Moon, Marcus Antwone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Jan 11th, 2018 - about 8 years ago

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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