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Dr. Perounsack X Moon, DO
Student in an Organized Health Care Education/Training Program in Macon, Georgia
NPI 1043770241

Perounsack X Moon is a Student in an Organized Health Care Education/Training Program based in Macon, GA. Perounsack X Moon practices in Macon, GA and has the professional credentials of DO. The NPI Number for Perounsack X Moon is 1043770241 and holds a License No. (Georgia).

The current practice location address for Perounsack X Moon is 380 Hospital Dr Ste 430, Macon, GA and can be reached out via phone at 478-751-0367.

Location: 380 Hospital Dr Ste 430, Macon, GA, 31217-8017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043770241
Provider Name
Perounsack X Moon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
380 Hospital Dr Ste 430, Macon, GA, 31217-8017
Phone Number
478-751-0367
Fax Number
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Hospital Dr Ste 430
City
Macon
State
Georgia
Zip
31217-8017
Phone Number
478-751-0367
Fax Number
person
Provider Business Mailing Address Details
Address
380 Hospital Dr Ste 430
City
Macon
State
Georgia
Zip
31217-8017
Phone Number
478-751-0367
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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