MERRIE TANYA MOON

MARIETTA, GA
NPI1568755692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  5794)
Enumeration Date2011-05-23
Last Update Date2011-05-23
Business Address
Mrs. MERRIE TANYA MOON P.A.
1810 WHITE CIR SUITE 155
MARIETTA, GA 30066-5835
Phone number: 877-613-1990
Mailing Address
Mrs. MERRIE TANYA MOON P.A.
2915 SANDTOWN PLACE CT SW
MARIETTA, GA 30064-7537
Phone number: 678-360-3504