| NPI | 1891420311 |
|---|---|
| Doing Business As | MOON RIVER PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KELSEY N ALEXANDER Owner/ Director 404-822-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-08-22 |