SUMMER MOON

AUGUSTA, GA
NPI1427678846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-04-26
Last Update Date2024-07-30
Business Address
SUMMER MOON PA-C
1465 LANEY WALKER BLVD PAVILION II, AF 1040
AUGUSTA, GA 30912-0002
Phone number: 706-721-3448
Mailing Address
SUMMER MOON PA-C
1465 LANEY WALKER BLVD AF1040
AUGUSTA, GA 30912
Phone number: 706-721-9619
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