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1780646083
HENRY S MOON
DACULA, GA
NPI
1780646083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 038311)
Enumeration Date
2006-04-04
Last Update Date
2010-01-15
Business Address
-- HENRY S MOON MD
2098 TERON TRCE STE150
DACULA, GA 30019-1662
Phone number: 678-730-1620
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Mailing Address
-- HENRY S MOON MD
2098 TERON TRACE STE150
DACULA, GA 30019-1662
Phone number: 678-730-1620
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