Individual
DAVIS SUNGWHAN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
74207
GA
2086S0129X
Vascular Surgery Physician
84913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003223457A
—
GA
05
—
003223457H
—
GA
Enumeration date
12/15/2008
Last updated
09/13/2022
Update your record
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