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1568755692
MERRIE TANYA MOON
MARIETTA, GA
NPI
1568755692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: GA 5794)
Enumeration Date
2011-05-23
Last Update Date
2011-05-23
Business Address
MRS. MERRIE TANYA MOON P.A.
1810 WHITE CIR SUITE 155
MARIETTA, GA 30066-5835
Phone number: 877-613-1990
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Mailing Address
MRS. MERRIE TANYA MOON P.A.
2915 SANDTOWN PLACE CT SW
MARIETTA, GA 30064-7537
Phone number: 678-360-3504
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