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1427678846
SUMMER MOON
AUGUSTA, GA
NPI
1427678846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-04-26
Last Update Date
2024-07-30
Business Address
SUMMER MOON PA-C
1465 LANEY WALKER BLVD PAVILION II, AF 1040
AUGUSTA, GA 30912-0002
Phone number: 706-721-3448
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Mailing Address
SUMMER MOON PA-C
1465 LANEY WALKER BLVD AF1040
AUGUSTA, GA 30912
Phone number: 706-721-9619
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