Moon, Matthew Eugene
Moon, Matthew Eugene is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Moon, Matthew Eugene can be contacted via phone (770) 224-1000.Contact Information
Primary practice address
450 Northside Cherokee Blvd
Canton GA 30115-8015
Phone: (770) 224-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN222612 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN222612 | Georgia |
Profile Details
| NPI number | 1861929929 |
|---|---|
| LBN Legal business name | Moon, Matthew Eugene |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2017 |
| Last updated | Nov 10th, 2025 - about last year |
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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