person
Mrs. Merrie Tanya Moon, PA
Medical Physician Assistant in Marietta, Georgia
NPI 1568755692

Merrie Tanya Moon is a Medical Physician Assistant based in Marietta, GA and is specialized in Medical. Merrie Tanya Moon practices in Marietta, GA and has the professional credentials of PA. The NPI Number for Merrie Tanya Moon is 1568755692 and holds a License No. 5794 (Georgia).

The current practice location address for Merrie Tanya Moon is 1810 White Cir, Marietta, GA and can be reached out via phone at 877-613-1990 and via fax at 877-613-1990.

Location: 1810 White Cir, Marietta, GA, 30064-7537
person
Provider Profile Details
NPI Number
1568755692
Provider Name
Merrie Tanya Moon
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1810 White Cir, Marietta, GA, 30064-7537
Phone Number
877-613-1990
Fax Number
877-613-1990
Provider Enumeration Date
05/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1810 White Cir
City
State
Zip
30066-5835
Phone Number
877-613-1990
Fax Number
877-613-1990
person
Provider Business Mailing Address Details
Address
1810 White Cir
City
State
Zip
30066-5835
Phone Number
877-613-1990
Fax Number
877-613-1990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5794 (Georgia)
Definition
Definition to come...
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